Air embolism;
complication;
hypoxic brain damage;
ischemia;
targeted temperature management;
D O I:
10.1002/ams2.211
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
Case: A 74-year-old woman underwent computed tomography-guided transthoracic needle biopsy of a small lung mass. Immediately after the procedure, she lost consciousness. After resuscitation, her brain computed tomography scan confirmed a cerebral air embolism. Outcome: As hyperbaric oxygenation was unavailable, she received controlled normothermia for neuroprotection. No cerebral symptoms were observed following treatment. Conclusion: Air embolisms are rare, but fatal, complications of computed tomography-guided transthoracic needle biopsy. Therefore, clinicians should be familiar with early diagnosis and prompt treatment. Preventing hyperthermia might be effective for treating hypoxic brain injury caused by cerebral air embolisms.
机构:
Univ Hosp Besancon, Dept Chest Dis, Besancon, France
Univ Hosp, Methodol & Qual Life Oncol Unit, Besancon, France
Univ Franche Comte, UMR 1098, Besancon, FranceUniv Hosp Besancon, Dept Radiol, Besancon, France
Eberst, Guillaume
Grillet, Franck
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机构:
Univ Hosp Besancon, Dept Radiol, Besancon, France
Ctr Leon Berard, Dept Radiol, Lyon, France
Dept Radiol, Ctr Leon Berard, 28 Rue Laennec, F-69373 Lyon, FranceUniv Hosp Besancon, Dept Radiol, Besancon, France
Grillet, Franck
Westeel, Virginie
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机构:
Univ Hosp Besancon, Dept Chest Dis, Besancon, France
Univ Hosp, Methodol & Qual Life Oncol Unit, Besancon, France
Univ Franche Comte, UMR 1098, Besancon, FranceUniv Hosp Besancon, Dept Radiol, Besancon, France
机构:
Thu Duc City Hosp, Dept Internal Med, 29 Phu Chau St, Ho Chi Minh City, VietnamThu Duc City Hosp, Dept Internal Med, 29 Phu Chau St, Ho Chi Minh City, Vietnam
Tran, Thanh Nguyen Ai
Nguyen, Tung Ba
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机构:
Thu Duc City Hosp, Dept Internal Med, 29 Phu Chau St, Ho Chi Minh City, VietnamThu Duc City Hosp, Dept Internal Med, 29 Phu Chau St, Ho Chi Minh City, Vietnam
Nguyen, Tung Ba
Nguyen, Vu Hoang Anh
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机构:
Thu Duc City Hosp, Dept Internal Med, 29 Phu Chau St, Ho Chi Minh City, VietnamThu Duc City Hosp, Dept Internal Med, 29 Phu Chau St, Ho Chi Minh City, Vietnam
Nguyen, Vu Hoang Anh
Vu-Tri, Thanh
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机构:
Thu Duc City Hosp, Board Directors, Ho Chi Minh City, Vietnam
Univ Med & Pharm Ho Chi Minh City, Fac Med, Ho Chi Minh City, VietnamThu Duc City Hosp, Dept Internal Med, 29 Phu Chau St, Ho Chi Minh City, Vietnam