腦部動脈氣體栓塞症之文獻回顧

Cerebral Arterial Gas Embolism

黃吉田(Chi-tien Huang) ； 張陸澎(Lu-Peng Chang) ； 黃耀興(Yao-hsing Huang)

《中華職業醫學雜誌》 10卷4期 (2003/10) Pp. 269-275

https://doi.org/10.30027/CJOM.200310.0005

摘要

氣體進入腦部循環(腦部動脈氣體栓塞症)是一種非常危急的急症，醫源性傷害及潛水時快速減壓上升是最常見的發生原因。高壓氧治療(單艙或多人艙)是目前唯一快速有效的治療方式。任何延遲及不當的處理方式將造成嚴重神經學後遺症，甚至導致死亡。身為第一線的醫師，必須清楚了解此疾病的病理生理學及治療原則。這篇文章由文獻回顧及探討腦部氣體是栓塞症的致病原因、病理生理學機轉、臨床表徵、診斷、及治療等等。雖然及早的診斷和高壓氧治療決定了病患的預後，但完善的預防才是減少不幸發生的根本之道。

關鍵字

腦部動脈氣體栓塞 ； 高壓氧治療

並列摘要

Entery of gas into brain circulation (Cerebral arterial gas embolism) is an urgent condition that requires immediate treatment. Iatrogenic origin and rapid ascend during a dive are the most common causes. Hyperbaric oxygen therapy with mono- or multi-place chamber is the primary treatment, and any delayed or inappropriate management of the disease can result in major neurological morbidity or death. An understanding of the pathophysiology and principies of treatment are therefore essential for all first line physicians. In this article, we will review and discuss cerebral arterial gas embolism with respect to its causes, mechanisms, pathophysiology, clinical features, diagnosis, treatment, and prevention.

並列關鍵字

cerebral arterial gas embolism ； hyperbaric oxygen therapy