医学
空气栓塞
气胸
仰卧位
计算机断层摄影术
并发症
放射科
外科
电视胸腔镜手术
栓塞
钩子
牙科
作者
Jung Hoon Yi,Pil Jo Choi,Jung Hee Bang,Sang Seok Jeong,Joo Hyun Cho
出处
期刊:Journal of Thoracic Disease
[AME Publishing Company]
日期:2018-01-01
卷期号:10 (1): E59-E64
被引量:29
标识
DOI:10.21037/jtd.2017.12.04
摘要
Computed tomography (CT)-guided hook wire localization is often used to identify small nodules prior to video-assisted thoracoscopic surgery (VATS).Pneumothorax, intrapulmonary hemorrhage, and wire dislodgement are well-known complications associated with the former procedure, but systemic air embolism (SAE) is an extremely rare and potentially fatal complication.We encountered two cases of SAE; one patient showed neurologic symptoms, whereas the other did not.With the patient in the supine position, 100% oxygen was inhaled via a face mask.Subsequently, symptoms were resolved, and we performed planned surgeries on that day.Operative and postoperative courses were uneventful, and both patients were discharged without any sequelae.In this case report, we describe our experience with the two patients and review related literature.
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