经皮肾镜取石术后发生脑和脊髓空气栓塞

Cerebral and spinal air embolism following percutaneous nephrolithotomy.

作者信息

Kachalia Amit Girish, Savant Charulata Sankhla, Patil Suhas, Gupta Santosh, Kapadia Farhad N

机构信息

Department of Neurology, P.D. Hinduja National Hospital and Medical Research Centre, Veer Savarkar Marg, Mahim, Mumbai-400 016, India.

出版信息

J Assoc Physicians India. 2011 Apr;59:254-6.

PMID:21755765

Abstract

We present a case report of cerebral and spinal air embolism following percutaneous nephrolithotomy in a patient without evidence of intra-cardiac defects or prepulmonary A-V shunts. The position of the patient during the incidence determined the site of eventual lodgement of air emboli in the arterial circulation. We suspect that the time of onset of symptoms following the procedure may be the clue to the path followed by air emboli.

摘要

我们报告一例经皮肾镜取石术后发生脑和脊髓空气栓塞的病例，该患者无心脏内缺损或肺前动静脉分流的证据。发病时患者的体位决定了空气栓子最终在动脉循环中的栓塞部位。我们怀疑术后症状出现的时间可能是空气栓子所走路径的线索。