Evaluation of Hysteroscopic-guided Removal of Intrauterine Device in Shanghai: A Report of Four Dead Cases

作     者：Jian-zhong KANG Chun-xia MENG Xiao-ai LIU Li-nan CHENG Jian-zhong KANG1, Chun-xia MENG2, Xiao-ai LIU1, Li-nan CHENG3 1. Shanghai Institute of Family Planning Technical Instruction, Shanghai 200030, China 2. Department of Women’s and Children’s Health, Division for Obstetrics and Gynecology, Karolinska Institutet, Stockholm 17176, Sweden 3. Center for Clinical Research and Training, Shanghai Institute of Planned Parenthood Research, Shanghai 200032, China

作者机构：Shanghai Institute of Family Planning Technical Instruction Shanghai 200030 China Department of Women's and Children's Health Division for Obstetrics and Gynecology Karolinska Institutet Stockholm 17176 Sweden Center for Clinical Research and Training Shanghai Institute of Planned Parenthood Research Shanghai 200032 China 

出 版 物：《Journal of Reproduction and Contraception》 (生殖与避孕（英文版）)

年 卷 期：2010年第21卷第2期

页      面：111-116页

学科分类：090603[农学-临床兽医学] 080503[工学-材料加工工程] 1001[医学-基础医学(可授医学、理学学位)] 08[工学] 09[农学] 0906[农学-兽医学] 0805[工学-材料科学与工程（可授工学、理学学位）] 

主　　题：removal of an intrauterine device hysteroscopy air embolism death 

摘      要：Objective To analyze the possible cause leading to death during the procecture oy IUD removal under hysteroscopy and how it could be prevented. Methods All （11 110） cases of IUD removal under hysteroscopy performed at 87 hospitals in Shanghai from 2001 to 2007 were reviewed. Four dead cases were reported. Results Air embolism was suspected as the cause of death. Associated risk factors included insufficient preoperative preparation, short duration between surgeries, non-standard procedure, careless observation and untimely resuscitation. Conclusion This emphasizes the necessity of early interventions taken such as prevention, early detection and management of the fatal complications.