致命性中心静脉空气栓塞：会师法食管扩张的罕见并发症。
Fatal central venous air embolism: a rare complication of esophageal dilation by rendezvous.
机构信息
Department of Otolaryngology Head and Neck Surgery, Oregon Health and Sciences University, Portland, OR 97239, USA.
出版信息
Head Neck. 2011 Mar;33(3):441-4. doi: 10.1002/hed.21304.
BACKGROUND
Esophageal dilation by rendezvous is a useful technique for the treatment of complicated esophageal strictures.
METHODS AND RESULTS
We present a case of a 74-year-old man with chronic dysphagia caused by a complete cervical esophageal stricture that developed after external beam radiotherapy for treatment of papillary thyroid carcinoma. During attempted dilation using the rendezvous technique, the patient suffered a fatal pulmonary air embolism. The technique of esophageal dilation by rendezvous, complications, and risk factors for development of venous air embolism are discussed.
CONCLUSION
To the best of our knowledge, this is the first report in the literature of fatal venous air embolism after dilation by rendezvous.
背景
会师法食管扩张术是治疗复杂食管狭窄的一种有效技术。
方法和结果
我们报告了 1 例 74 岁男性患者，因甲状腺乳头癌行外照射放疗后出现完全性颈段食管狭窄，导致慢性吞咽困难。在尝试会师法扩张时，患者发生致命性肺空气栓塞。讨论了会师法食管扩张术、并发症以及发生静脉空气栓塞的危险因素。
结论
据我们所知，这是文献中首次报道会师法扩张后发生致命性静脉空气栓塞的病例。
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