Sun Dengjun, Sui Ping, Zhang Weiwei, Zhang Liangming, Xu Hao
Department of Medical Oncology, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, Shandong, China.
Department of Neurosurgery, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, Shandong, China.
J Cancer Res Ther. 2018;14(7):1650-1654. doi: 10.4103/jcrt.JCRT_1035_17.
The objective of the study is to explore the etiology, clinical manifestations, imaging features, diagnosis, treatment, and prognosis of cerebral air embolism complicated computed tomography (CT) scan-guided percutaneous liver biopsy.
A case of air embolism was developed in the brain during a CT-guided percutaneous needle biopsy of the liver. In addition, retrospective analysis was performed on the previously reported typical cases of cerebral air embolism secondary to CT-guided percutaneous lung biopsy.
Cerebral air embolism has been recognized as a potentially fatal but extremely rare complication following CT-guided percutaneous liver or lung biopsy. It was usually caused by cough, positive pressure ventilation, incorrect puncture position, repeated punctures, cavity or cyst in the target sites, and vascular inflammatory lesions.
Clinicians should focus on timely and correct diagnosis of this complication during their interventional procedures. The current main treatment for this complication has been hyperbaric oxygen therapy.
本研究旨在探讨计算机断层扫描（CT）引导下经皮肝穿刺活检并发脑空气栓塞的病因、临床表现、影像学特征、诊断、治疗及预后。
1例在CT引导下经皮肝穿刺活检过程中发生脑空气栓塞。此外，对既往报道的CT引导下经皮肺穿刺活检继发脑空气栓塞的典型病例进行回顾性分析。
脑空气栓塞已被认为是CT引导下经皮肝或肺穿刺活检后一种潜在致命但极其罕见的并发症。其通常由咳嗽、正压通气、穿刺位置不当、反复穿刺、靶部位存在空洞或囊肿以及血管炎性病变引起。
临床医生在介入操作过程中应注重对该并发症的及时、准确诊断。目前针对该并发症的主要治疗方法是高压氧治疗。
