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静脉空气栓塞。经自发右侧对比超声心动图诊断。

Venous air embolism. Diagnosis by spontaneous right-sided contrast echocardiography.

作者信息

Marcus R H, Weinert L, Neumann A, Borow K M, Lang R M

机构信息

Department of Medicine, University of Chicago Medical Center 60637.

出版信息

Chest. 1991 Mar;99(3):784-5. doi: 10.1378/chest.99.3.784.

DOI:10.1378/chest.99.3.784
PMID:1995250
Abstract

This report describes the definitive diagnosis of venous air-embolism by documentation of spontaneous echo contrast in the right cardiac chambers following removal of a jugular venous catheter in a patient with hepatic failure. This complication was potentiated by the presence of concurrent hepatic coagulopathy which prejudiced effective hemostasis at the central venous puncture site.

摘要

本报告描述了一名肝功能衰竭患者在拔除颈静脉导管后,通过记录右心腔内的自发回声造影对静脉空气栓塞进行明确诊断的情况。同时存在的肝脏凝血功能障碍加剧了这一并发症,该凝血功能障碍妨碍了中心静脉穿刺部位的有效止血。

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