Chahal Daljeet, Ruzhynsky Vladimir, McAuley Iain, Sweeney Desmond, Sobkin Paul, Kinahan Michael, Gardiner Rich, Kinahan John
University of British Columbia, Vancouver, BC;
McMaster University, Hamilton, ON;
Can Urol Assoc J. 2015 Sep-Oct;9(9-10):E658-60. doi: 10.5489/cuaj.2835. Epub 2015 Sep 9.
Paradoxical air embolism is a very rare complication associated with percutaneous nephrolithotomy (PCNL). Incidence may be higher if patients also suffer from a septal heart defect. We report the case of a 76-year old male who presented for PCNL treatment of a right kidney lower calyceal calculus. During the procedure, the patient developed signs and symptoms consistent with that of air embolism. Intraoperative echocardiography confirmed the diagnosis. Subsequent intraoperative and postoperative medical management was carried out and the patient was discharged after recovery three days later. This case highlights the importance of a rare but potentially fatal complication of PCNL.
反常空气栓塞是经皮肾镜取石术（PCNL）相关的一种非常罕见的并发症。如果患者同时患有心脏间隔缺损，发病率可能会更高。我们报告一例76岁男性患者，因右肾下盏结石接受PCNL治疗。术中，患者出现了与空气栓塞相符的体征和症状。术中超声心动图确诊了该诊断。随后进行了术中及术后的医疗处理，患者三天后康复出院。该病例凸显了PCNL这种罕见但可能致命的并发症的重要性。
