Silva Mafalda, Gaio-Lima Clara, Camacho Óscar, Ribeiro Joana
Anesthesiology, Centro Hospitalar Vila Nova de Gaia/Espinho, Porto, PRT.
Hyperbaric Medicine, Hospital Pedro Hispano, Matosinhos, PRT.
Cureus. 2022 Dec 25;14(12):e32933. doi: 10.7759/cureus.32933. eCollection 2022 Dec.
Transthoracic lung biopsy is a frequently performed procedure performed worldwide. Although rare, air embolism is a potentially fatal complication. Rapid diagnosis and immediate treatment are essential to prevent patient clinical deterioration. Hyperbaric oxygen treatment is the standard of care in air embolism and time referral is critical for patient prognosis. We report a case of a man who underwent a percutaneous transthoracic lung biopsy which was complicated with arterial air embolism and severe neurologic symptoms; he was successfully treated with hyperbaric chamber treatment. Physicians performing such techniques should be aware of this severe complication as immediate support treatment and hyperbaric oxygen may prevent irreversible neurologic lesions.
经胸肺活检是一种在全球范围内经常进行的操作。空气栓塞虽然罕见，但却是一种潜在的致命并发症。快速诊断和立即治疗对于防止患者临床病情恶化至关重要。高压氧治疗是空气栓塞的标准治疗方法，及时转诊对患者预后至关重要。我们报告一例男性患者，他接受了经皮经胸肺活检，并发动脉空气栓塞和严重神经症状；通过高压氧舱治疗成功治愈。进行此类操作的医生应意识到这种严重并发症，因为立即的支持治疗和高压氧可预防不可逆的神经损伤。
