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在CT引导下肺活检期间经导管抽吸导致心脏功能受损的系统性空气栓塞,一种可能挽救生命的操作。

Trans-Catheter Aspiration of Systemic Air Embolism Causing Cardiac Compromise During CT-Guided Lung Biopsy, a Potentially Lifesaving Maneuver.

作者信息

El Homsi Maria, Haydar Ali, Dughayli Jad, Al-Kutoubi Aghiad

机构信息

Department of Diagnostic Radiology, American University Medical Center, Beirut, Lebanon.

Department of Anesthesiology, American University Medical Center, Beirut, Lebanon.

出版信息

Cardiovasc Intervent Radiol. 2019 Jan;42(1):150-153. doi: 10.1007/s00270-018-2055-4. Epub 2018 Aug 14.

Abstract

Systemic artery embolism is a rare complication of CT-guided lung biopsy. Immediate clinical and radiological recognitions are crucial for rapid intervention and prevention of fatal outcome. Although hyperbaric oxygen is the suggested treatment of mildly symptomatic systemic artery embolization, aspiration of air should be considered as part of the management in cases of cardiac arrest.

摘要

系统性动脉栓塞是CT引导下肺活检的一种罕见并发症。及时的临床和影像学识别对于迅速干预和预防致命后果至关重要。虽然高压氧是轻度症状性系统性动脉栓塞的推荐治疗方法,但在心脏骤停的情况下,空气抽吸应被视为治疗的一部分。

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