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尸检及死后计算机断层扫描证实的医院内致命性空气栓塞

Fatal air embolism in hospital confirmed by autopsy and postmortem computed tomography.

作者信息

Edler Carolin, Klein Anke, Püschel Klaus, Schröder Ann Sophie

机构信息

Institute of Legal Medicine, University of Hamburg-Eppendorf, Butenfeld 34, D-22529, Hamburg, Germany.

出版信息

Forensic Sci Med Pathol. 2018 Jun;14(2):251-254. doi: 10.1007/s12024-018-9961-2. Epub 2018 Mar 1.

Abstract

Vascular air embolism is caused by penetration of air into veins or arteries through a surgical wound or other connection between the external and internal aspects of the body. Vascular air embolism has various causes, and iatrogenic air embolisms are the most frequently described. We report a case of fatal air embolism in an 83-year-old woman who was admitted to hospital. At the time of the incident, she was alone in her ward receiving an intravenous infusion of antibiotics via a peripheral line in her right forearm. She was also inhaling air through a mask, which was connected via a tubing system to a compressed air connection in the wall behind her bed. Autopsy and postmortem computed tomography (PMCT) findings are presented. The case illustrates the high diagnostic value of PMCT, which is an effective procedure for detecting the presence of air or gas.

摘要

血管空气栓塞是由于空气通过手术伤口或身体内外的其他连接部位进入静脉或动脉所致。血管空气栓塞有多种病因,其中医源性空气栓塞是最常被描述的。我们报告一例83岁女性住院患者发生致命空气栓塞的病例。事件发生时,她独自在病房,通过右前臂的外周静脉通路接受抗生素静脉输注。她还通过一个面罩吸氧,该面罩通过管道系统连接到她病床后面墙上的压缩空气接口。本文展示了尸检和死后计算机断层扫描(PMCT)的结果。该病例说明了PMCT的高诊断价值,它是检测空气或气体存在的有效方法。

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