一例食管胃十二指肠镜检查术后脑空气栓塞的病例报告：急诊科的诊断与处理
A case report of cerebral air embolism after esophagogastroduodenoscopy: diagnosis and management in the emergency department.
作者信息
Pandurangadu Ananda V, Paul Jose A P, Barawi Mohammed, Irvin Charlene B
机构信息
Department of Emergency Medicine, St. John Hospital and Medical Center, Detroit, Michigan, USA.
出版信息
J Emerg Med. 2012 Dec;43(6):976-9. doi: 10.1016/j.jemermed.2010.11.031. Epub 2011 Jan 14.
BACKGROUND
Esophagogastroduodenoscopy (EGD) is a rare cause of cerebral air embolism (CAE). To our knowledge, there are only eight previously reported such cases in the history of the procedure.
OBJECTIVE
To identify clinical causes of CAE that can present to the emergency department (ED) and to understand the appropriate management of CAE.
CASE REPORT
A 71-year-old man presented with new-onset left-sided hemiparesis and dysarthria 2h after undergoing an outpatient EGD. The patient was diagnosed with CAE in the ED after undergoing a computed tomography scan of the brain without contrast.
CONCLUSION
The diagnosis of CAE is based on a thorough history and obtaining urgent radiographic imaging of the brain. The definitive treatment of CAE involves hyperbaric oxygen.
背景
食管胃十二指肠镜检查（EGD）是脑空气栓塞（CAE）的罕见病因。据我们所知，在该检查的历史上，此前仅报告过8例此类病例。
目的
确定可能出现在急诊科（ED）的CAE的临床病因，并了解CAE的适当管理方法。
病例报告
一名71岁男性在门诊进行EGD检查后2小时出现新发左侧偏瘫和构音障碍。该患者在未进行增强扫描的情况下接受脑部计算机断层扫描后，在急诊科被诊断为CAE。
结论
CAE的诊断基于详尽的病史和紧急进行脑部影像学检查。CAE的确定性治疗包括高压氧治疗。
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