主动脉内球囊泵破裂继发脑空气栓塞
Cerebral air embolism secondary to intra-aortic balloon pump rupture.
作者信息
Cruz-Flores Salvador, Diamond Alan L, Leira Enrique C
机构信息
Souers Stroke Institute, Department of Neurology, St. Louis University School of Medicine, St. Louis, MO 63110, USA.
出版信息
Neurocrit Care. 2005;2(1):49-50. doi: 10.1385/NCC:2:1:049.
INTRODUCTION
Cerebral air embolism is a neurological emergency. It has been reported following cardiac catheterization, central venous catheter insertion, and cardiothoracic surgery.
METHODS AND RESULTS
We report a case of massive cerebral air embolism secondary to intra-aortic balloon pump (IABP) rupture. Computed tomography (CT) of the brain showed serpiginous hypodensities following the sulci associated with hypodense brain parenchymal lesions.
CONCLUSION
The prompt recognition of cerebral air embolism secondary to IABP rupture requires a high level of suspicion and is confirmed by head CT.
引言
脑空气栓塞是一种神经科急症。据报道，在心脏导管插入术、中心静脉导管插入术及心胸外科手术后会发生脑空气栓塞。
方法与结果
我们报告一例因主动脉内球囊反搏（IABP）破裂继发的大量脑空气栓塞病例。脑部计算机断层扫描（CT）显示脑沟周围有蜿蜒的低密度影，伴有脑实质低密度病变。
结论
对于IABP破裂继发的脑空气栓塞，要迅速识别需要高度怀疑，并通过头部CT确诊。
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