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经皮穿刺肺占位性病变活检导致颅骨和脊柱空气栓塞:一例报告

Air embolism in the skull and spine as a result of a pulmonary space-occupying lesion biopsy via percutaneous puncture: a case report.

作者信息

Bai Yong, Zhang Xiaoya, Sun Yanrong, Zhou Lehong

机构信息

Intensive Care Unit, Renmin Hospital, Hubei University of Medicine, No. 39 Chaoyang Middle Road, Shiyan, Hubei Province, 442000, China.

出版信息

BMC Pulm Med. 2025 Jul 9;25(1):328. doi: 10.1186/s12890-025-03792-w.

Abstract

To describe a rare instance of cerebral and spinal cord air embolism that occurred after a left lower lung mass was percutaneously biopsyed under computed tomography guidance, highlighting the significance of early detection and interdisciplinary care. Following a percutaneous biopsy of a left lower lobe of the lung with a space-occupying lesion, a 66-year-old male patient had lower extremities paralysis and chest tightness. Multidisciplinary consultation and imaging verified that the lesion was a cranial and spinal air embolism. Following his recovery with hyperbaric oxygen, physiotherapy, and lumbar big pool draining and decompression, he was released from the hospital.

摘要

描述1例在计算机断层扫描引导下对左下肺肿块进行经皮活检后发生脑和脊髓空气栓塞的罕见病例,强调早期检测和多学科护理的重要性。1例66岁男性患者在对左下肺叶占位性病变进行经皮活检后,出现下肢瘫痪和胸闷。多学科会诊及影像学检查证实病变为颅脑和脊髓空气栓塞。经高压氧、物理治疗及腰大池引流减压治疗后康复出院。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b52/12239368/61ceb1dd1901/12890_2025_3792_Fig1_HTML.jpg

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