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一名77岁男性，精神状态迅速改变。

A 77-Year-Old Male with a Rapid Change in Mental Status.

作者信息

Piner Andrew, Lovegrove Spencer S, Bontempo Laura J, Andrew Windsor T

机构信息

University of Maryland Medical Center, Baltimore, Maryland.

University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland.

出版信息

Clin Pract Cases Emerg Med. 2024 Aug;8(3):182-188. doi: 10.5811/cpcem.7213.

DOI:10.5811/cpcem.7213
PMID:39158227
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11326069/
Abstract

A 77-year-old male who presented to the emergency department with generalized weakness and worsening chronic dysphagia was diagnosed with pneumonia. Shortly after receiving vascular access for his treatment, he had a rapid change in his mental status and neurological examination.

摘要

一名77岁男性因全身无力和慢性吞咽困难加重前往急诊科就诊，被诊断为肺炎。在接受治疗建立血管通路后不久，他的精神状态和神经检查迅速出现变化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/506c/11326069/2648a67c5f01/cpcem-8-182-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/506c/11326069/f1211d54c228/cpcem-8-182-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/506c/11326069/d87844eb633e/cpcem-8-182-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/506c/11326069/2648a67c5f01/cpcem-8-182-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/506c/11326069/f1211d54c228/cpcem-8-182-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/506c/11326069/d87844eb633e/cpcem-8-182-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/506c/11326069/2648a67c5f01/cpcem-8-182-g003.jpg

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本文引用的文献

1
A High-pressure Solution for a High-pressure Situation: Management of Cerebral Air Embolism with Hyperbaric Oxygen Therapy.高压状况下的高压解决方案：高压氧疗法治疗脑空气栓塞
Cureus. 2019 Sep 3;11(9):e5559. doi: 10.7759/cureus.5559.
2
Cerebral Air Embolism Following Central Venous Catheter Removal.
Am J Med. 2017 Dec;130(12):e549-e550. doi: 10.1016/j.amjmed.2017.07.024. Epub 2017 Aug 10.
3
Air Embolism: Practical Tips for Prevention and Treatment.空气栓塞：预防与治疗的实用小贴士
J Clin Med. 2016 Oct 31;5(11):93. doi: 10.3390/jcm5110093.
4
Centers for Medicare and Medicaid Services' "never events": an analysis and recommendations to hospitals.医疗保险和医疗补助服务中心的“绝不允许发生的事件”：对医院的分析与建议
Health Care Manag (Frederick). 2008 Oct-Dec;27(4):338-49. doi: 10.1097/HCM.0b013e31818c8037.
5
Volume of air in a lethal venous air embolism.致死性静脉空气栓塞中的空气量。
Anesthesiology. 2001 Feb;94(2):360-1. doi: 10.1097/00000542-200102000-00031.