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首页> 外文期刊>Resuscitation. >Out-of-hospital cardiac arrest from air embolism during sexual intercourse: case report and review of the literature.
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Out-of-hospital cardiac arrest from air embolism during sexual intercourse: case report and review of the literature.

机译：性交过程中因栓塞引起的院外心脏骤停：病例报告和文献复习。

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We report the successful resuscitation of a 38-year-old woman in cardiac arrest following heterosexual intercourse 7 days after spontaneous abortion and an instrumental uterine evacuation. The collapse was thought to be due to venous air embolism (VAE). Her survival neurologically intact was attributed to appropriate first aid, pre-hospital and subsequent hospital intensive care. Neither a case of an out-of-hospital air embolism where the patient made a good recovery, nor a case of miscarriage followed by collapse from air embolism has been reported in the literature. Air embolism is a very infrequent cause of out-of-hospital cardiac arrest with a high mortality rate. Predominant causal reasons are severe penetrating neck or thoracic injuries and sexual activities in pregnancy, when air can pass into the damaged veins in the wall of the uterus and lead to total obstruction in the heart. Diagnostics and management techniques for venous air embolism are discussed. Air embolism should be included in the differential diagnosis for all young women in cardiac arrest, particularly when occurring during sexual activity. Instructions in risks of sexual intercourse during pregnancy and the puerperium should become part of pregnant women's education.
机译：我们报告了一名自然流产和子宫排空术后7天异性性交后一名心脏骤停的38岁妇女的成功复苏。据认为，倒塌是由于静脉空气栓塞（VAE）引起的。她的神经功能完好无损归因于适当的急救，院前和随后的医院重症监护。文献中既没有报道患者恢复良好的院外空气栓塞病例，也没有报告因空气栓塞而流产后虚脱的案例。空气栓塞是医院外心脏骤停的极少数原因，死亡率很高。最主要的因果原因是怀孕期间严重的颈部或胸部穿透性损伤以及性活动，当时空气可以进入子宫壁受损的静脉并导致心脏完全阻塞。讨论了静脉空气栓塞的诊断和管理技术。对于所有心脏骤停的年轻妇女，尤其是在性活动期间发生时，应将空气栓塞纳入鉴别诊断。有关怀孕和产后性交风险的说明应成为孕妇教育的一部分。

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