The Department of Neurosurgery, The First People's Hospital of Huzhou, Zhejiang, China.
The Department of Nursing, The First People's Hospital of Huzhou, Zhejiang, China.
Medicine (Baltimore). 2024 Apr 5;103(14):e37640. doi: 10.1097/MD.0000000000037640.
Air embolization is usually an iatrogenic complication that can occur in both veins and arteries. Intravenous air embolization is mainly associated with large central vein catheters and mechanical ventilation. A 59-year-old woman was sent to our hospital with spontaneous cerebral hemorrhage and treated conservatively with a left forearm peripheral venous catheter infusion drug. After 48 hours, the patient's oxygen saturation decreased to 92 % with snoring breathing. Computer tomography of the head and chest revealed scattered gas in the right subclavian, the right edge of the sternum, the superior vena cava, and the leading edge of the heart shadow.
She was sent to the intensive care unit for high-flow oxygen inhalation and left-side reclining instantly. As the patient was at an acute stage of cerebral hemorrhage and did not take the Trendelenburg position.
The computed tomography (CT) scan after 24 hours shows that the air embolism subsides.
Air embolism can occur in any clinical scenario, suggesting that medical staff should enhance the ability to identify and deal with air embolism. For similar cases in clinical practice, air embolism can be considered.
空气栓塞通常是一种医源性并发症，可发生在静脉和动脉中。静脉内空气栓塞主要与大中央静脉导管和机械通气有关。一名 59 岁女性因自发性脑出血被送往我院，给予左前臂外周静脉导管输注药物保守治疗。48 小时后，患者出现打鼾呼吸，血氧饱和度降至 92%。头部和胸部计算机断层扫描显示右侧锁骨下、胸骨右缘、上腔静脉和心影前缘散在气体。
患者立即被送往重症监护病房进行高流量吸氧，并左侧卧位。由于患者处于脑出血急性期，未采取特伦德伦伯格体位。
24 小时后的 CT 扫描显示空气栓塞减轻。
空气栓塞可发生在任何临床情况下，提示医务人员应增强识别和处理空气栓塞的能力。对于临床实践中的类似病例，可考虑空气栓塞。
