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计算机断层扫描引导下肺活检后脑动脉空气栓塞的延迟表现

Delayed Presentation of Air Embolism Within Cerebral Arteries Following Computed Tomography-Guided Lung Biopsy.

作者信息

Yang Cunli, Ong Shao J, Loh Stanley E, Anil Gopinathan

机构信息

Radiology, National University Hospital, Singapore, SGP.

Radiology, National University of Singapore, Singapore, SGP.

出版信息

Cureus. 2023 Jan 1;15(1):e33205. doi: 10.7759/cureus.33205. eCollection 2023 Jan.

Abstract

Computed tomography (CT)-guided percutaneous core needle biopsy of the lung is a frequently performed interventional radiological procedure. Most complications are minor and self-resolving. However, a rare but potentially fatal complication is that of systemic air embolism, especially when to the cerebral or coronary arteries. This study reports a case of delayed (12 hours after initial biopsy) air embolism in the cerebral arteries that resulted from an otherwise uncomplicated biopsy of a lung nodule. It is vital for early diagnostic confirmation and appropriate treatment if possible, though maximal efforts at prevention are still recommended.

摘要

计算机断层扫描(CT)引导下经皮肺穿刺活检是一种常用的介入放射学检查方法。大多数并发症较轻微且可自行缓解。然而,一种罕见但可能致命的并发症是系统性空气栓塞,尤其是栓塞至脑动脉或冠状动脉时。本研究报告了一例在肺结节穿刺活检未出现其他并发症的情况下,发生延迟性(首次活检后12小时)脑动脉空气栓塞的病例。尽早进行诊断确认并尽可能给予恰当治疗至关重要,不过仍建议全力做好预防工作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62f1/9887544/59e17ee44d7c/cureus-0015-00000033205-i01.jpg

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