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本文引用的文献

1
Nonfatal systemic air embolism complicating percutaneous CT-guided transthoracic needle biopsy: four cases from a single institution.经皮CT引导下经胸针吸活检并发非致命性系统性空气栓塞：来自单一机构的4例病例
Chest. 2007 Aug;132(2):684-90. doi: 10.1378/chest.06-3030.
2
CT-guided needle biopsy of lung lesions: a survey of severe complication based on 9783 biopsies in Japan.CT引导下肺病变穿刺活检：基于日本9783例活检的严重并发症调查。
Eur J Radiol. 2006 Jul;59(1):60-4. doi: 10.1016/j.ejrad.2006.02.001. Epub 2006 Mar 10.
3
Acute coronary artery air embolism following CT-guided lung biopsy.CT引导下肺活检后急性冠状动脉空气栓塞
Cardiovasc Intervent Radiol. 2005 Jan-Feb;28(1):131-4. doi: 10.1007/s00270-004-0118-1.
4
Percutaneous lung biopsies: a survey of UK practice based on 5444 biopsies.经皮肺活检：基于5444例活检的英国实践调查。
Br J Radiol. 2002 Sep;75(897):731-5. doi: 10.1259/bjr.75.897.750731.
5
Complications of percutaneous transthoracic needle aspiration biopsy.
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空气栓塞并发计算机断层扫描引导下的肺芯针活检

Air embolism complicating computed tomography-guided core needle biopsy of the lung.

作者信息

Wu Yueh-Feng, Huang Tsai-Wang, Kao Chung-Cheng, Lee Shih-Chun

机构信息

Department of Emergency Medicine, Taoyuan Armed Forces General Hospital, Taoyuan, Taiwan.

出版信息

Interact Cardiovasc Thorac Surg. 2012 Jun;14(6):771-2. doi: 10.1093/icvts/ivr116. Epub 2012 Feb 26.

DOI:10.1093/icvts/ivr116
PMID:22371385
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3352700/
Abstract

Computed tomography-guided transthoracic lung biopsy is a common clinical procedure for the diagnosis of a broad range of pulmonary pathological conditions. Mild self-limiting pneumothorax and haemoptysis are common complications of this procedure. Air embolism is a potentially life-threatening but extremely rare complication. We report a case of an air embolism in the left ventricle of the heart that developed after a computed tomography-guided percutaneous needle biopsy of the lung. The patient did not exhibit cardiac or cerebral symptoms after conservative treatment. The patient underwent a successful left thoracotomy with a lobectomy of the left lower lobe of the lung 5 days after the biopsy and recovered uneventfully.

摘要

计算机断层扫描引导下经胸肺活检是诊断多种肺部病理状况的常见临床操作。轻度自限性气胸和咯血是该操作的常见并发症。空气栓塞是一种潜在危及生命但极其罕见的并发症。我们报告一例在计算机断层扫描引导下经皮肺穿刺活检后发生的左心室空气栓塞病例。经保守治疗后，患者未出现心脏或脑部症状。活检后5天，患者成功接受了左开胸手术及左肺下叶切除术，术后恢复顺利。