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一例罕见的静脉空气栓塞且患者存活的病例。

A unique case of venous air embolus with survival.

作者信息

Davare Dafney L, Chaudry Zishan, Sanchez Rafael, Lee Seong K, Kiffin Chauniqua, Rosenthal Andrew A, Carrillo Eddy H

机构信息

Memorial Regional Hospital, Division of Acute Care Surgery and Trauma, 3501 Johnson Street, Hollywood, FL 33021, USA

Saba University School of Medicine, 27 Jackson Road, Devens, MA 01434, USA.

出版信息

J Surg Case Rep. 2016 Sep 1;2016(9):rjw153. doi: 10.1093/jscr/rjw153.

DOI:10.1093/jscr/rjw153
PMID:27587307
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5007613/
Abstract

Venous air embolus (VAE) occurs when gas, specifically atmospheric air, enters into the vascular system. Although rare, they can be fatal due to risk of cardiovascular collapse. In this report, we present a unique case of a 66-year-old female trauma patient with an inferior vena cava air embolism. An overview of the potential cause is presented, along with a review of the management of VAE.

摘要

静脉空气栓塞(VAE)是指气体,特别是大气中的空气进入血管系统时发生的情况。虽然罕见,但由于有心血管崩溃的风险,它们可能是致命的。在本报告中,我们介绍了一例66岁女性创伤患者发生下腔静脉空气栓塞的独特病例。本文概述了潜在病因,并对VAE的处理进行了综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dde/5007613/030b79daedb3/rjw153f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dde/5007613/2975b7173d71/rjw153f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dde/5007613/fa2e960e88ce/rjw153f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dde/5007613/030b79daedb3/rjw153f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dde/5007613/2975b7173d71/rjw153f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dde/5007613/fa2e960e88ce/rjw153f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dde/5007613/030b79daedb3/rjw153f03.jpg

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本文引用的文献

1
Vascular air embolism.血管空气栓塞
Int J Crit Illn Inj Sci. 2013 Jan;3(1):73-6. doi: 10.4103/2229-5151.109428.
2
Acute management of vascular air embolism.血管空气栓塞的急性处理
J Emerg Trauma Shock. 2009 Sep;2(3):180-5. doi: 10.4103/0974-2700.55330.
3
Diagnosis and treatment of vascular air embolism.血管空气栓塞的诊断与治疗。
Anesthesiology. 2007 Jan;106(1):164-77. doi: 10.1097/00000542-200701000-00026.
4
Preventing complications of central venous catheterization.预防中心静脉置管的并发症。
N Engl J Med. 2003 Mar 20;348(12):1123-33. doi: 10.1056/NEJMra011883.
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Central venous catheter use. Part 1: mechanical complications.中心静脉导管的使用。第1部分:机械并发症。
Intensive Care Med. 2002 Jan;28(1):1-17. doi: 10.1007/s00134-001-1154-9. Epub 2001 Dec 4.
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Gas embolism.气体栓塞
N Engl J Med. 2000 Feb 17;342(7):476-82. doi: 10.1056/NEJM200002173420706.
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Venous air embolism from central venous catheterization: a need for increased physician awareness.中心静脉置管引起的静脉空气栓塞:需要提高医生的认识。
Crit Care Med. 1999 Oct;27(10):2113-7. doi: 10.1097/00003246-199910000-00006.
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Venous air embolism: clinical and experimental considerations.
Crit Care Med. 1992 Aug;20(8):1169-77. doi: 10.1097/00003246-199208000-00017.