一名早产儿心肺复苏后发生系统性空气栓塞
Systemic air embolism after cardiopulmonary resuscitation in a preterm infant.
作者信息
Andriessen P, Halbertsma F, van Lijnschoten G, Weerdenburg H, Bambang Oetomo S
机构信息
Máxima Medical Center, Neonatal Intensive Care Unit, Veldhoven, The Netherlands.
出版信息
Acta Paediatr. 2008 Jun;97(6):822-4. doi: 10.1111/j.1651-2227.2008.00767.x. Epub 2008 Apr 7.
UNLABELLED
We report a preterm infant with extensive systemic air embolism after cardiopulmonary resuscitation for cardiac arrest due to an occluding thrombus in the inferior vena cava. After excluding other potential causes (air infusion, necrotizing enterocolitis or pulmonary leakage syndrome), we postulate that the pressure gradient needed for air embolism to occur is related to the resuscitation procedure. An important clue of air embolism was noted on the chest X-ray taken before death showing intracardial air.
CONCLUSION
Systemic air embolism may occur as a very rare complication after cardiopulmonary resuscitation.
未标注
我们报告了一名因下腔静脉闭塞性血栓导致心脏骤停而进行心肺复苏后发生广泛系统性空气栓塞的早产儿。在排除其他潜在原因（空气注入、坏死性小肠结肠炎或肺渗漏综合征）后，我们推测空气栓塞发生所需的压力梯度与复苏程序有关。在死亡前拍摄的胸部X光片上发现心内空气，这是空气栓塞的一个重要线索。
结论
系统性空气栓塞可能是心肺复苏后一种非常罕见的并发症。
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