Department of Respiratory Medicine, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Am J Med Sci. 2013 Jun;345(6):501-3. doi: 10.1097/MAJ.0b013e31827bbe23.
Computed tomography-guided percutaneous needle biopsy of the lung is a common and frequently performed procedure for diagnosis of lung lesions. However, this procedure is not without risks. The major complications include pneumothorax and hemoptysis, which are mild and self-limiting. The rare complications include air embolism, tension pneumothorax, pulmonary hemorrhage, and tumor dissemination, which are severe and life threatening. Cerebral air embolism is a very rare and fatal complication. In previous reports, cerebral air embolism generally occurred during or immediately after lung biopsy. Herein, we present the first case of cerebral infarction secondary to cerebral air embolism 6 hours after computed tomography-guided lung biopsy.
计算机断层扫描引导下经皮肺穿刺活检是诊断肺部病变的一种常见且常进行的程序。然而，该程序并非没有风险。主要并发症包括气胸和咯血，这些都是轻微且自限性的。罕见的并发症包括空气栓塞、张力性气胸、肺出血和肿瘤播散，这些都是严重且危及生命的。脑空气栓塞是一种非常罕见且致命的并发症。在以前的报告中，脑空气栓塞通常发生在肺活检过程中或之后立即发生。在此，我们报告首例计算机断层扫描引导下肺活检 6 小时后发生脑空气栓塞引起的脑梗死。
