骨科俯卧位手术中静脉空气栓塞的胸部X线特征：一例报告
Chest x-ray feature of venous air embolism in orthopedic surgery in prone position: A case report.
作者信息
Liu Yuwu, Gao Qun, Chen Andi, Xiao Jian, Shi Ping
机构信息
Orthopedics Department, Guangyuan Central Hospital, Guangyuan, China.
Department of Orthopedics, Jiangshan People's Hospital, Jiangshan, China.
出版信息
Front Surg. 2023 Jan 9;9:994839. doi: 10.3389/fsurg.2022.994839. eCollection 2022.
BACKGROUND
Venous air embolism (VAE) is a life-threatening event characterized as a series of clinical features of the disease caused by gas entering the venous circulation in the body.
CASE PRESENTATION
A 72-year-old male patient with an ankle fracture after trauma was admitted, and complained of chest pain and dyspnea after the ankle fracture resection and internal fixation. His heart rate and blood pressure dropped, and the patient was diagnosed with VAE according to a chest x-ray and clinical features. Cardiopulmonary resuscitation was carried out and the patient's heartbeat recovered; his blood pressure rose to a normal level. The patient was still unconscious and sent to the intensive care unit for continued monitoring and treatment. Unfortunately, the patient discharged himself from the hospital and died 24 h later.
CONCLUSION
This case suggests that x-ray may be a potential method for the rapid diagnosis of VAE in a resource-limited setting.
背景
静脉空气栓塞（VAE）是一种危及生命的事件，其特征为气体进入人体静脉循环所引发的一系列疾病临床特征。
病例介绍
一名72岁男性患者因外伤后踝关节骨折入院，在踝关节骨折切除及内固定术后出现胸痛和呼吸困难。其心率和血压下降，根据胸部X线检查及临床特征诊断为VAE。进行了心肺复苏，患者心跳恢复；血压升至正常水平。患者仍昏迷，被送往重症监护病房继续监测和治疗。不幸的是，患者自行出院，24小时后死亡。
结论
该病例表明，在资源有限的情况下，X线检查可能是快速诊断VAE的一种潜在方法。
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