Successful Management with Hyperbaric Oxygen Therapy in Computed Tomography-Guided Core Needle Biopsy of the Lung Complicated with Air Embolism

成功以高壓氧治療電腦斷層引導肺穿刺切片併發之氣栓塞

陳威廷(Wei-Ting Chen) ； 陳炯睿(Chiung-Zuei Chen)

《胸腔醫學》 33卷2期 (2018/04) Pp. 89-94

摘要

Computed tomography-guided lung biopsy is a widely accepted and frequently performed procedure for pulmonary lesions; however, it is associated with various complications including pneumothorax, hemoptysis and parenchymal hemorrhage. Mild, self-limiting pneumothorax and hemoptysis are common complications of this procedure. Air embolism is a potentially life-threatening but extremely rare complication. We report a case of air embolism in the ascending aorta that developed during a computed tomography-guided percutaneous needle biopsy of the lung. The air embolism resolved uneventfully after a 1-hour hyperbaric oxygen therapy treatment session. No cardiac or cerebral symptoms were seen after this treatment.

關鍵字

CT-guided transthoracic lung biopsy ； Air embolism

並列摘要

電腦斷層引導之肺切片是一項被廣泛接受且經常實施之診斷工具，然而其亦有存在著不同之併發症，例如氣胸、咳血及肺出血。輕度自行復原之氣胸及咳血為最常見之併發症，氣栓塞是一種具有致命危險但極罕見之併發症。我們報告一位因接受電腦斷層引導之切片併發空氣栓塞存在於上升主動脈，並成功以高壓氧治療移除其空氣栓塞，沒有遺留心臟或腦部之併發症之案例。

並列關鍵字

電腦斷層引導之肺切片 ； 空氣栓塞