Valente-Aguiar Murilo Sérgio, Dinis-Oliveira Ricardo Jorge
Department of Public Health and Forensic Sciences, and Medical Education, Faculty of Medicine, University of Porto, Alameda Prof. Hernâni Monteiro, Porto, Portugal.
Legal Medical Institute of Porto Velho, Civil Police of the State of Rondônia, Rondônia, Brazil.
Forensic Sci Med Pathol. 2019 Sep;15(3):498-501. doi: 10.1007/s12024-018-0072-x. Epub 2019 Jan 11.
A 16-month-old girl who was hospitalized with pneumonia and treated with antibiotics died after the nurse erroneously connected her intravenous left forearm catheter to the oxygen supply. Autopsy revealed an impressive gas embolism in the left subclavian and brachiocephalic veins, reduced crepitus and enlarged lung volume, and congestion of the meningeal vessels with some areas showing small air bubbles. Dilation of the right atrium and the right ventricle with efflux under pressure of large amounts of air bubbles were observed. The coronary arteries and veins were filled with air bubbles intercalated with segments containing blood. After exclusion of putrefactive artifacts as the source of such a large amount of gas in the body death was considered to be due to a massive air embolism. While embolisms are well recognized in adults, these cases are only infrequently encountered in forensic practice in younger decedents.
一名16个月大的女童因肺炎住院并接受抗生素治疗，在护士错误地将其左前臂静脉导管连接到氧气供应装置后死亡。尸检显示左锁骨下静脉和头臂静脉有明显的气体栓塞，捻发音减少且肺容积增大，脑膜血管充血，部分区域可见小气泡。观察到右心房和右心室扩张，大量气泡在压力作用下外流。冠状动脉和静脉充满了气泡，并夹杂着含血段。排除尸体腐败假象作为体内如此大量气体的来源后，死亡被认为是由于大量空气栓塞所致。虽然栓塞在成年人中已得到充分认识，但在较年轻死者的法医实践中，这些病例很少见。
