腹腔镜手术中二氧化碳注入引发术中心脏骤停：病例报告
Intraoperative Cardiac Arrest Triggered by Carbon Dioxide Insufflation During Laparoscopic Surgery: A Case Report.
摘要(中文译文)
微创腹腔镜手术因其术后疼痛减轻和恢复更快而受到青睐，但气腹的建立可能带来术中血流动力学风险。本病例报告描述了一例40多岁女性患者在接受择期机器人辅助多学科子宫内膜切除术时，二氧化碳（CO2）充气后发生心脏骤停的事件。尽管术前评估显示围手术期风险较低，但患者在CO2充气后出现严重心动过缓，并迅速进展为心搏停止。本病例报告强调了腹腔镜手术中心脏并发症早期发现和及时干预的重要性。
Abstract
Minimally invasive laparoscopic surgeries, favored for their reduced postoperative pain and quicker recovery times, may pose intraoperative hemodynamic risks due to the creation of pneumoperitoneum. This case report presents an episode of sudden cardiac arrest following carbon dioxide (CO2) insufflation during an elective robotic-assisted multispecialty endometrial excision in a female patient in her 40s. Despite preoperative assessment indicating low perioperative risk, the patient experienced severe bradycardia, progressing rapidly to asystole after CO2 insufflation. The case report emphasizes the importance of early detection and timely intervention for cardiac complications during laparoscopic surgeries.
如何引用
AMA
Nirajan Khati, Rakesh K Shah, Sammi Joshi, Subodh Chapagain, Pragnesh H Gadhvi. Intraoperative Cardiac Arrest Triggered by Carbon Dioxide Insufflation During Laparoscopic Surgery: A Case Report.. Cureus. 2026; doi:10.7759/cureus.106594.
APA
Nirajan Khati, Rakesh K Shah, Sammi Joshi, Subodh Chapagain, Pragnesh H Gadhvi (2026). Intraoperative Cardiac Arrest Triggered by Carbon Dioxide Insufflation During Laparoscopic Surgery: A Case Report.. Cureus. https://doi.org/10.7759/cureus.106594
GB/T 7714
Nirajan Khati, Rakesh K Shah, Sammi Joshi, Subodh Chapagain, Pragnesh H Gadhvi. Intraoperative Cardiac Arrest Triggered by Carbon Dioxide Insufflation During Laparoscopic Surgery: A Case Report.[J]. Cureus, 2026 doi:10.7759/cureus.106594.
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