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颅内手术后脑静脉窦空气栓塞的高压氧治疗:一例报告

Hyperbaric oxygen therapy of air embolus in the cerebral venous sinuses after intracranial surgery: a case report.

作者信息

Lundborg Mina, Helseth Eirik, Josefsen Roger, Braathen Martin, Skogen Karoline, Ramm-Pettersen Jon

机构信息

Department of Neurosurgery, Oslo University Hospital, Oslo, Norway.

Faculty of Medicine, University of Oslo, Oslo, Norway.

出版信息

Acta Neurochir (Wien). 2018 Jul;160(7):1401-1405. doi: 10.1007/s00701-018-3537-5. Epub 2018 Apr 26.

Abstract

A case with cerebral venous air embolism (CVAE) after neurosurgery and treated with hyperbaric oxygen therapy (HBOT) is presented. This is a rare and potentially fatal complication that neurosurgeons should be aware of. A 52-year-old male was diagnosed with an intracerebral hematoma. An emergency evacuation of the hematoma was performed with a craniotomy and the postoperative CT scan showed a complete evacuation of the hematoma, but it also revealed a CVAE. The patient was immediately referred to HBOT and received three sessions within 48 h. The CT scan after the first HBOT showed no CVAE, venous thrombosis, or new hematoma.

摘要

本文报告了1例神经外科手术后发生脑静脉空气栓塞(CVAE)并接受高压氧治疗(HBOT)的病例。这是一种罕见且可能致命的并发症,神经外科医生应予以关注。一名52岁男性被诊断为脑内血肿。通过开颅手术对血肿进行了紧急清除,术后CT扫描显示血肿已完全清除,但也显示存在CVAE。患者立即被转诊接受HBOT治疗,并在48小时内接受了3个疗程的治疗。首次HBOT治疗后的CT扫描显示无CVAE、静脉血栓形成或新的血肿。

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