Warren Mikako, Goodhue William
Department of Pathology, John A. Burns School of Medicine, University of Hawaii, Honolulu, HI, USA.
Am J Forensic Med Pathol. 2013 Mar;34(1):9-10. doi: 10.1097/PAF.0b013e31826151c2.
Cerebral tissue pulmonary embolism (CTPE) is a very rare complication of severe head trauma. Nearly 20 cases of CTPE have been reported in neonates after birth trauma and even fewer cases in children and adults. We report a 4-month-old infant boy who sustained severe head trauma when he was accidentally dropped by his stepfather. Autopsy revealed multiple skull fractures, dural venous sinus laceration, subdural and subarachnoid hemorrhages, and brain maceration and extrusion. Microscopically, there was widespread embolism of brain tissue in medium- to small-sized pulmonary arteries.
脑组织肺栓塞（CTPE）是严重头部创伤非常罕见的并发症。出生创伤后的新生儿中已报道近20例CTPE，儿童和成人中的病例更少。我们报告一名4个月大男婴，其被继父意外掉落时遭受严重头部创伤。尸检显示多处颅骨骨折、硬脑膜静脉窦撕裂、硬膜下和蛛网膜下腔出血，以及脑软化和脑组织挤出。显微镜下可见中小肺动脉中广泛存在脑组织栓塞。
