Park Suyeon, Ahn Ji Yong, Ahn Young Eun, Jeon Sang-Beom, Lee Sang Soo, Jung Hwoon-Yong, Kim Jin-Ho
Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Department of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Clin Endosc. 2016 Mar;49(2):191-6. doi: 10.5946/ce.2015.071. Epub 2016 Feb 22.
Cerebral air embolism is an extremely rare complication of endoscopic procedure and often life threatening. We present two cases of cerebral infarction due to air embolization caused by an endoscopic intervention. The first case occurred during esophageal balloon dilatation for the treatment of a stricture of an anastomosis site in a 59-year-old man and the second case occurred during endoscopic papillary balloon dilatation in a 69-year-old man who had distal common bile duct stones. After the procedure, cardiopulmonary instability and altered mental status were observed in both patients, and cerebral air embolism was diagnosed in both cases. Hyperbaric oxygen therapy was started in the first case, and high FiO2 therapy was applied in the second case. Although this complication is rare, patient outcomes can be improved if physicians are aware of this potential complication, and immediately begin proper management.
脑空气栓塞是内镜手术极为罕见的并发症，常危及生命。我们报告两例因内镜干预导致空气栓塞引起的脑梗死病例。第一例发生在一名59岁男性因吻合口狭窄接受食管球囊扩张治疗期间，第二例发生在一名69岁患有胆总管远端结石的男性接受内镜乳头球囊扩张期间。术后，两名患者均出现心肺不稳定和精神状态改变，两例均诊断为脑空气栓塞。第一例开始进行高压氧治疗，第二例应用高浓度吸氧治疗。尽管这种并发症罕见，但如果医生意识到这种潜在并发症并立即开始适当处理，患者的预后可以得到改善。
