Bove A A, Clark J M, Simon A J, Lambertsen C J
Undersea Biomed Res. 1982 Mar;9(1):75-80.
A 60-year-old male patient suddenly developed blindness, agitation, and disorientation 36 h after coronary bypass surgery. Onset of symptoms followed efforts to clear an air-filled radial artery cannula. Seven hours after onset of symptoms, initial compression to 2.8 ATA (60 fsw), 100% oxygen (U.S. Navy Table 6), steroids, intravenous fluids, and antiplatelet drugs were used for therapy. The patient's agitation and disorientation dictated that we avoid initial compression to 6 ATA (165 fsw), contrary to conventional practice in therapy of air embolism, and instead immediately give oxygen at 2.8 ATA. After a second treatment with USN Table 6, given 6 h after the first, the patient's vision and mental state returned to normal. He subsequently had an uneventful recovery from surgery and cerebral air embolism.
一名60岁男性患者在冠状动脉搭桥手术后36小时突然出现失明、烦躁不安和定向障碍。症状出现前曾尝试清理充满空气的桡动脉插管。症状出现7小时后，最初采用2.8ATA（60英尺海水）的压力、100%氧气（美国海军表6方案）、类固醇、静脉输液和抗血小板药物进行治疗。患者的烦躁不安和定向障碍使我们避免按照空气栓塞治疗的常规做法最初采用6ATA（165英尺海水）的压力，而是立即给予2.8ATA的氧气。在首次治疗6小时后按照美国海军表6方案进行第二次治疗后，患者的视力和精神状态恢复正常。他随后手术和脑空气栓塞恢复顺利。
