PDF(Pubmed)
Abstract：
BACKGROUND: Air embolization is usually an iatrogenic complication that can occur in both veins and arteries. Intravenous air embolization is mainly associated with large central vein catheters and mechanical ventilation. A 59-year-old woman was sent to our hospital with spontaneous cerebral hemorrhage and treated conservatively with a left forearm peripheral venous catheter infusion drug. After 48 hours, the patient\'s oxygen saturation decreased to 92 % with snoring breathing. Computer tomography of the head and chest revealed scattered gas in the right subclavian, the right edge of the sternum, the superior vena cava, and the leading edge of the heart shadow.
METHODS: She was sent to the intensive care unit for high-flow oxygen inhalation and left-side reclining instantly. As the patient was at an acute stage of cerebral hemorrhage and did not take the Trendelenburg position.
RESULTS: The computed tomography (CT) scan after 24 hours shows that the air embolism subsides.
UNASSIGNED: Air embolism can occur in any clinical scenario, suggesting that medical staff should enhance the ability to identify and deal with air embolism. For similar cases in clinical practice, air embolism can be considered.
METHODS: She was sent to the intensive care unit for high-flow oxygen inhalation and left-side reclining instantly. As the patient was at an acute stage of cerebral hemorrhage and did not take the Trendelenburg position.
RESULTS: The computed tomography (CT) scan after 24 hours shows that the air embolism subsides.
UNASSIGNED: Air embolism can occur in any clinical scenario, suggesting that medical staff should enhance the ability to identify and deal with air embolism. For similar cases in clinical practice, air embolism can be considered.
摘要：
背景：空气栓塞通常是一种医源性并发症，可发生在静脉和动脉中。静脉空气栓塞主要与大中心静脉导管和机械通气有关。一名59岁的妇女因自发性脑出血被送往我院，并采用左前臂外周静脉导管输注药物保守治疗。48小时后,患者的血氧饱和度降低到92%，呼吸打鼾。头部和胸部的计算机断层扫描显示右锁骨下有散落的气体，胸骨的右边缘,上腔静脉,和心脏阴影的前沿。
方法：她被送到重症监护病房进行高流量吸氧，并立即向左侧倾斜。由于患者处于脑出血的急性期，并且没有采取Trendelenburg位置。
结果：24小时后的计算机断层扫描（CT）扫描显示空气栓塞消退。
■空气栓塞可以在任何临床情况下发生，建议医务人员提高识别和处理空气栓塞的能力。对于临床实践中的类似病例，可以考虑空气栓塞。
方法：她被送到重症监护病房进行高流量吸氧，并立即向左侧倾斜。由于患者处于脑出血的急性期，并且没有采取Trendelenburg位置。
结果：24小时后的计算机断层扫描（CT）扫描显示空气栓塞消退。
■空气栓塞可以在任何临床情况下发生，建议医务人员提高识别和处理空气栓塞的能力。对于临床实践中的类似病例，可以考虑空气栓塞。
