Campbell P R, Kerridge R
Department of Trauma, Liverpool Hospital, New South Wales, Australia.
Aust N Z J Surg. 1993 Apr;63(4):307-9. doi: 10.1111/j.1445-2197.1993.tb00388.x.
Traumatic air embolism is rare in Australia, but must be treated promptly if patients are to survive. A single fatal case of traumatic air embolism due to penetrating trauma is described with attention to the presenting symptoms and signs, the unsuccessful attempts at resuscitation and correlation with the post-mortem findings. Patients with penetrating chest trauma are at high risk of traumatic air embolism and positive pressure ventilation of the affected lung will cause rapid death if the condition is not immediately recognized. Early aggressive treatment is therefore necessary for survival. The diagnosis can be missed at post-mortem if not specifically sought.
创伤性空气栓塞在澳大利亚较为罕见，但要想患者存活就必须迅速进行治疗。本文描述了一例因穿透性创伤导致的创伤性空气栓塞致死病例，重点关注了其出现的症状和体征、复苏的失败尝试以及与尸检结果的关联。穿透性胸部创伤患者发生创伤性空气栓塞的风险很高，如果这种情况没有立即被识别出来，对患侧肺进行正压通气会导致迅速死亡。因此，早期积极治疗是存活的必要条件。如果在尸检时没有专门寻找，可能会漏诊。
