支气管镜检查过程中的血管空气栓塞——发生率、病理生理学、诊断、管理及结果
Vascular Air Embolism During Bronchoscopy Procedures- Incidence, Pathophysiology, Diagnosis, Management and Outcomes.
作者信息
Kanchustambham Venkatkiran, Saladi Swetha, Mehta Kris, Mwangi John, Jamkhana Zafar, Patolia Setu
机构信息
Pulmonary and Critical Care Medicine, Saint Louis University School of Medicine.
Internal Medicine, Saint Louis University School of Medicine.
出版信息
Cureus. 2017 Mar 9;9(3):e1087. doi: 10.7759/cureus.1087.
Abstract
Vascular air embolism (VAE) is a rare, but potentially fatal complication of invasive medical or surgical procedures. It is a very rare complication of bronchoscopy and is most frequently reported with therapeutic bronchoscopy with Argon plasma coagulation (APC) or neodymium-doped yttrium aluminum garnet (Nd-YAG) laser. Despite being rare, as a result of its high chance of mortality and morbidity, it is imperative that physicians have high clinical suspicion to allow for early recognition and treatment. In this article, we provide a concise review of the incidence, pathophysiology, diagnosis management and outcomes of air embolism during bronchoscopy procedures.
摘要
血管空气栓塞（VAE）是侵入性医疗或外科手术中一种罕见但可能致命的并发症。它是支气管镜检查中非常罕见的并发症，最常报道于氩等离子体凝固（APC）或掺钕钇铝石榴石（Nd-YAG）激光治疗性支气管镜检查。尽管罕见，但由于其高死亡率和发病率，医生必须高度怀疑，以便早期识别和治疗。在本文中，我们简要回顾了支气管镜检查过程中空气栓塞的发生率、病理生理学、诊断、管理和结果。
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