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相关概念视频

Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

Endoscopic Procedures I: Esophagogastroduodenoscopy

354
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
354
Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

506
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
506
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
175
Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

916
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
916
Endoscopic Procedures II: Colonoscopy01:25

Endoscopic Procedures II: Colonoscopy

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The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
191
Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

Endoscopic Studies I: Bronchoscopy and Thoracoscopy

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Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
272

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相关实验视频

Updated: Sep 12, 2025

Topical Airway Anesthesia for Awake-endoscopic Intubation Using the Spray-as-you-go Technique with High Oxygen Flow
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[内镜手术期间的气体栓塞]

Marcus Fredriksson Sundbom1, Anna Molin2, Roberto Valente3

  • 1doktorand, ST-läkare, institutionen för diagnostik och intervention, enheten för anestesi- och intensivvård, Umeå universitet; Centrum för anestesi, operation och intensivvård, Norrlands universitetssjukhus, Umeå.

Lakartidningen
|August 6, 2025
PubMed
概括
此摘要是机器生成的。

这份病例报告详细介绍了一名罕见的幸存者在内镜逆行胆血管细胞造影 (ERCP) 期间发生了悖论性气栓塞. 迅速的复苏和干预措施导致了患者的死亡.

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科学领域:

  • 胃肠病学 胃肠病学
  • 心脏病学 心脏病学
  • 关键护理医学 关键护理医学

背景情况:

  • 气栓塞是一种罕见的,但可能致命的并发症内镜逆行胆血管细胞造影 (ERCP).
  • 悖论性气体栓塞发生在气体进入静脉循环并穿过动脉循环时,通常通过圆孔.

研究的目的:

  • 报告一个病人在ERCP期间幸存下来的异常气栓塞的独特案例.
  • 突出这一关键事件的诊断和管理策略.

主要方法:

  • 一个病人的病例报告在ERCP期间经历了矛盾的气栓塞.
  • 用过食道心声扫描 (TEE) 进行诊断.
  • 使用先进的复苏技术进行管理,包括血管压缩器和高度氧气.

主要成果:

  • 该患者出现了严重的呼吸和循环系统崩,包括无法测量的潮末二氧化碳,低氧化,低血压和心肌梗塞.
  • 经食道心声学证实了巨大的双心室气泡和圆孔的专利.
  • 成功的复苏导致了气泡的消失和完全恢复,没有神经缺陷.

结论:

  • 在ERCP期间发生悖论性气栓塞,虽然很少见,但是一种危及生命的紧急情况.
  • 及时识别,先进的血液动力学支持和心声回声监测对生存至关重要.
  • 在内镜手术期间保持对气体栓塞的警对于患者的安全至关重要.