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经超声心动图诊断中心静脉导管置入相关空气栓塞:病例报告及文献复习

Echocardiographic diagnosis of air embolism associated with central venous catheter placement: case report and review of the literature.

作者信息

Maddukuri Prasad, Downey Brian C, Blander Jessica A, Pandian Natesa G, Patel Ayan R

机构信息

Cardiovascular Imaging and Hemodynamic Laboratory, Division of Cardiology, Tufts-New England Medical Center, Boston, Massachusetts 02111, USA.

出版信息

Echocardiography. 2006 Apr;23(4):315-8. doi: 10.1111/j.1540-8175.2006.00211.x.

DOI:10.1111/j.1540-8175.2006.00211.x
PMID:16640710
Abstract

Transthoracic echocardiography (TTE) is a valuable tool in the evaluation of patients with suspected air embolism. This report describes the presentation and evaluation of a critically ill woman with spontaneous air embolism occurring during a central venous catheter replacement. Bedside TTE established the diagnosis of air embolism, allowing prompt initiation of appropriate therapy. This case report highlights this uncommon but potentially life-threatening complication of central line placement and the utility of echocardiography in its evaluation.

摘要

经胸超声心动图(TTE)是评估疑似空气栓塞患者的一项重要工具。本报告描述了一名危重症女性在中心静脉导管置换过程中发生自发性空气栓塞的临床表现及评估情况。床旁TTE确诊了空气栓塞,从而能够迅速启动恰当的治疗。本病例报告强调了这种中心静脉置管少见但可能危及生命的并发症,以及超声心动图在其评估中的作用。

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