门诊CT引导下经皮穿刺活检后患者急性失代偿：一例报告
Acute decompensation of patient following an outpatient CT-guided needle biopsy: A case report.
作者信息
Fall Danielle, Smith Tyler, Prazak Ann Marie, Cizman Ziga, Iravani Aidin
机构信息
Department of Internal Medicine, Devision of Pulmonology and Critical Care Medicine, University of Utah School of Medicine, 50 N Medical Dr, Salt Lake City, UT 84132, USA.
Department of Interventional Radiology, University of Utah School of Medicine, 50 N Medical Dr, Salt Lake City, UT 84132, USA.
出版信息
Radiol Case Rep. 2023 Jan 13;18(3):1261-1263. doi: 10.1016/j.radcr.2022.12.052. eCollection 2023 Mar.
A 74-year-old female with history of type 2 diabetes, hypertension, and uterine adenocarcinoma presented for CT-guided lung biopsy that was ultimately complicated by an arterial air embolus requiring intensive care. Systemic air embolism is a very rare event but can be devastating. Prompt recognition can be difficult due to an often-vague presentation but is essential and should be considered upon rapid deterioration of a patient's status following high risk procedures. Hyperbaric oxygen therapy is preferred; however, if this is unavailable, additional treatments are predominately supportive care with 100% supplemental oxygen, rapid volume expansion, and ionotropic medications as needed.
一名74岁女性，有2型糖尿病、高血压和子宫腺癌病史，因CT引导下肺活检就诊，最终并发动脉空气栓塞，需要重症监护。全身性空气栓塞是一种非常罕见的事件，但可能是毁灭性的。由于表现往往模糊不清，及时识别可能很困难，但这至关重要，在高风险手术后患者病情迅速恶化时应予以考虑。高压氧治疗是首选；然而，如果无法进行高压氧治疗，其他治疗主要是支持性护理，包括按需给予100%补充氧气、快速扩容和使用血管活性药物。
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