Asymptomatic carbon dioxide embolism during transoral vestibular thyroidectomy:A case report  

作　　者：Jia-Xi Tang Ling Wang Wei-Qi Nian Wan-Yan Tang Jing-Yu Xiao Xi-Xi Tang Hong-Liang Liu 

机构地区：[1]Department of Anesthesiology,Chongqing Key Laboratory of Translational Research for Cancer Metastasis and Individualized Treatment,Chongqing University Cancer Hospital,Chongqing 400030,China [2]Department of Phase I Clinical Trial Ward,Chongqing Key Laboratory of Translational Research for Cancer Metastasis and Individualized Treatment,Chongqing University Cancer Hospital,Chongqing 400030,China

出　　处：《World Journal of Clinical Cases》2021年第16期4024-4031,共8页世界临床病例杂志

基　　金：Science and Technology Bureau of Shapingba District,Chongqing,China,No.JCD202041;and Science and Technology Bureau of Chongqing,China,No.CSTC2019JXJL130029.

摘　　要：BACKGROUND Endoscopic thyroidectomy has obvious advantages over conventional surgical techniques in terms of postoperative cosmetic outcome.Although the incidence of carbon dioxide embolism(CDE)during endoscopic thyroidectomy is very low,it is potentially fatal.The clinical manifestations of CDE vary,and more attention should be paid to this disorder.CASE SUMMARY A 27-year-old man was scheduled for thyroidectomy by the transoral vestibular approach.The patient had no other diseases or surgical history.During the operation,he developed a CDE following inadvertent injury of the anterior jugular vein.The clinical manifestation in this patient was a transient sharp rise in end-tidal carbon dioxide,and his remaining vital signs were stable.In addition,loud coarse systolic and diastolic murmurs were heard over the precordium.The patient was discharged on day 4 after surgery without complications.CONCLUSION A transient sharp rise in end-tidal carbon dioxide is considered a helpful early sign of CDE during endoscopic thyroidectomy.

关 键 词：Carbon dioxide embolism Endoscopic thyroidectomy Transoral vestibular thyroidectomy End-tidal carbon dioxide Literature review Case report 

分 类 号：R653[医药卫生—外科学]