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CT引导下肺穿刺针定位后发生脑动脉空气栓塞。病例报告。

Cerebral arterial air embolism following CT-guided lung needle marking. Report of a case.

作者信息

Kamiyoshihara M, Sakata K, Ishikawa S, Morishita Y

机构信息

Department of Thoracic and Cardiovascular Surgery, Maebashi Red Cross Hospital, Gunma University School of Medicine, 3-39-15 Showa-machi, Maebashi, Gunma, 371-8511 Japan.

出版信息

J Cardiovasc Surg (Torino). 2001 Oct;42(5):699-700.

Abstract

We report a case of survival following a temporary cerebral air embolism, which occurred immediately after CT guided lung needle marking. A 24-year-old man was referred to our hospital for resection of a pulmonary nodule. To localize the tumor, lung needle marking under CT guidance was performed. Almost immediately, the patient experienced symptoms of cerebral arterial air embolism. The following day, the symptoms diminished, and a brain CT showed no abnormal lesions. A video-assisted thoracoscopic wedge resection was performed as scheduled, the patient's postoperative course was uneventful, and he was discharged in relatively good condition.

摘要

我们报告了一例在CT引导下肺穿刺定位后即刻发生短暂性脑空气栓塞但仍存活的病例。一名24岁男性因肺部结节切除术被转诊至我院。为了定位肿瘤,在CT引导下进行了肺穿刺定位。几乎在同一时间,患者出现了脑动脉空气栓塞的症状。第二天,症状减轻,脑部CT显示无异常病变。按计划进行了电视辅助胸腔镜楔形切除术,患者术后恢复顺利,出院时状况相对良好。

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