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致命性矛盾性肺空气栓塞并发经皮计算机断层扫描引导下肺穿刺活检

Fatal paradoxical pulmonary air embolism complicating percutaneous computed tomography-guided needle biopsy of the lung.

作者信息

Chakravarti Rajesh, Singh Virendra, Isaac Rethish, John M Joseph

机构信息

Department of Radiology and Medicine, Christian Medical College and Hospital, Ludhiana, Punjab, India.

出版信息

Australas Radiol. 2004 Jun;48(2):204-6. doi: 10.1111/j.1440-1673.2004.01297.x.

DOI:10.1111/j.1440-1673.2004.01297.x
PMID:15230755
Abstract

A 63-year-old man with left upper zone haziness on chest X-ray and an infiltrative lesion with a pleural mass in the left upper lobe on CT scan was scheduled for CT-guided percutaneous trans-thoracic needle biopsy. During the procedure, the patient had massive haemoptysis and cardiorespiratory arrest and could not be revived. Post-mortem CT showed air in the right atrium, right ventricle, pulmonary artery and also in the left atrium and aorta. A discussion on paradoxical air embolism following percutaneous trans-thoracic needle biopsy is presented.

摘要

一名63岁男性,胸部X线显示左上肺野模糊,CT扫描显示左肺上叶有一个伴有胸膜肿块的浸润性病变,计划进行CT引导下经皮经胸针吸活检。在操作过程中,患者出现大量咯血和心肺骤停,未能复苏。尸检CT显示右心房、右心室、肺动脉以及左心房和主动脉内有气体。本文对经皮经胸针吸活检后反常空气栓塞进行了讨论。

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