在神经内血管手术期间的气栓,用高压氧气疗法治疗
João Victor Sanders1, Marion J Oliver2, Demetrius K Lopes2
1Brain and Spine Institute, Advocate Health Care Inc, Chicago, Illinois, USA joaovictor.souzasanders@aah.org.
BMJ case reports
|February 3, 2025
概括
空气栓塞是神经干预手术过程中罕见的并发症. 高压氧气疗法 (HBOT) 在接受动脉干预的患者中有效地解决了空气栓塞并改善了神经症状.
科学领域:
- 神经学 神经学
- 血管外科 血管外科
- 高压医学的高压医学.
背景情况:
- 空气栓塞是一种罕见但严重的内血管程序并发症.
- 高压氧气疗法 (HBOT) 是空气栓塞的潜在治疗方法.
- 神经干预手术存在脑血管并发症的风险.
研究的目的:
- 在 carotid 干预期间报告气栓塞病例.
- 在这种情况下,评估HBOT在治疗气栓塞的疗效.
主要方法:
- 一名接受急性动脉干预的患者出现了空气栓塞.
- 诊断得到了DynaCT的证实.
- 开始接受HBOT治疗.
主要成果:
- 一次HBOT治疗导致空气栓塞和小出血完全消失.
- 患者在治疗后表现出显著的神经改善.
- 患者被抽管并出院,残留症状轻微.
结论:
- 空气栓塞是神经干预手术中罕见的并发症.
- HBOT是一种可行的,有效的空气栓塞治疗方法.
- 及时诊断和治疗对于患者的治疗结果至关重要.
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