Mercurio Isabella, Capano Daniele, Torre Riccardo, Taddei Aldo, Troiano Gianmarco, Scialpi Michele, Gabbrielli Mario
From the *Section of Forensic Medicine, Department of Medical, Surgical, and Neurological Sciences, University of Siena, Hospital Santa Maria alle Scotte, Siena; †Section of Radiology, Department of Surgical and Biomedical Sciences, University of Perugia, Hospital Santa Maria della Misericordia, Perugia; ‡Section of Radiology, Hospital Alta Valdelsa, Tuscany; and §Postgraduate School of Public Health, University of Siena, Siena, Italy.
Am J Forensic Med Pathol. 2018 Mar;39(1):61-68. doi: 10.1097/PAF.0000000000000375.
Cerebral air embolism is caused by gas bubbles in the vascular system. These bubbles can cause cerebral ischemia by obstructing encephalic blood vessels. It is frequently associated with blunt and penetrating chest trauma as well as iatrogenic interventions. Lung trauma involving laceration of the respiratory tract, lung parenchyma, and blood vessels may result in direct communication of these structures, driving air or gas into the pulmonary venous system. We report a case of a blunt chest trauma that led to massive arterial air embolism that was possible to recognize with the help of postmortem computed tomographic scan examination.
脑空气栓塞是由血管系统中的气泡引起的。这些气泡可通过阻塞脑血管导致脑缺血。它常与钝性和穿透性胸部创伤以及医源性干预有关。涉及呼吸道、肺实质和血管撕裂的肺创伤可能导致这些结构直接相通,促使空气或气体进入肺静脉系统。我们报告一例钝性胸部创伤导致大量动脉空气栓塞的病例,该病例借助死后计算机断层扫描检查得以确诊。