Mitchell S J, Benson M, Vadlamudi L, Miller P
Wesley Centre for Hyperbaric Medicine, Brisbane, Australia.
Ann Emerg Med. 2000 Mar;35(3):300-3. doi: 10.1016/s0196-0644(00)70086-2.
A 27-year-old man inhaled helium from an unregulated pressurized cylinder and underwent cerebral arterial gas embolism (CAGE), leaving him blind and with radiologic evidence initially suggesting cortical infarction. There was complete recovery of vision and substantial regression of the radiologic changes after 4 hyperbaric oxygen treatments and a 54-hour lidocaine infusion, which began 6 hours after the accident. This is the second reported case of CAGE occurring by this mechanism and the first case of unequivocal CAGE in which lidocaine has been used as an adjunctive treatment with hyperbaric oxygen.
一名27岁男子从不规范的加压气瓶中吸入氦气，发生了脑动脉气体栓塞（CAGE），导致失明，影像学证据最初提示为皮质梗死。在事故发生6小时后开始进行4次高压氧治疗并输注54小时利多卡因后，视力完全恢复，影像学改变也大幅消退。这是第二例报告的由该机制导致的CAGE病例，也是第一例明确使用利多卡因作为高压氧辅助治疗的CAGE病例。
