Agossou M, Holtea-Souty D, Fore M, Vuillemin C, Debieuvre D
Service de pneumologie, CHU de Martinique, route de Chateaubœuf, 97261 Fort-de-France cedex, Martinique.
Service de pneumologie, GHRMSA, Mulhouse, France.
Rev Mal Respir. 2020 Oct;37(8):662-665. doi: 10.1016/j.rmr.2020.07.003. Epub 2020 Aug 27.
Cerebral air embolism is a rare complication of flexible fiberoptic bronchoscopy. It is a serious, life-threatening complication. The treatment consists of hyperbaric oxygen therapy.
We report the case of cerebral air embolism that occurred in an 80-year-old woman after a flexible bronchial fibroscopy with bronchial spur biopsies. The patient showed neurological signs after the procedure. The brain CT-scan found disseminated air emboli. The progress was fatal in the absence of specific treatment, taking account of the context, the patient's comorbidities and the wishes of the family.
Cerebral air embolism is a serious complication that can occur during a bronchial biopsy even though this complication is rare.
脑空气栓塞是可弯曲纤维支气管镜检查的一种罕见并发症。它是一种严重的、危及生命的并发症。治疗方法包括高压氧治疗。
我们报告一例80岁女性在进行纤维支气管镜检查及支气管刺活检后发生脑空气栓塞的病例。术后患者出现神经症状。脑部CT扫描发现弥漫性空气栓子。鉴于患者的情况、合并症及家属意愿，在未进行特殊治疗的情况下，病情发展至致命结局。
脑空气栓塞是一种严重并发症，即使这种并发症很罕见，但在支气管活检过程中仍可能发生。
