[计算机断层扫描后冠状动脉空气栓塞 (CT) 导向肺活检]
Kenji Kimura1, Norimasa Itou, Masahiro Yoshimura
1Department of Thoracic Surgery, Saiseikai Hyogo Prefectural Hospital, Kobe, Japan.
Kyobu geka. The Japanese journal of thoracic surgery
|July 1, 2025
概括
在CT指导肺活检后发生了一种罕见的冠状动脉和左心室气栓塞病例. 通过保守的治疗,患者迅速康复,突出了及时诊断和管理的重要性.
科学领域:
- 心脏病学 心脏病学
- 肺部病理学 肺部病理学
- 放射学 放射学是一门学科.
背景情况:
- 计算机断层扫描 (CT) 指导的肺活检是一种常见的诊断程序.
- 虽然很少发生并发症,但可能会发生并发症,需要注意并做好准备.
研究的目的:
- 在CT导向肺活检后报告冠状动脉气栓塞病例.
- 讨论这种罕见并发症的诊断发现,管理和结果.
主要方法:
- 一名61岁的男性接受了CT指导的肺活检,以检查异常的胸影.
- 手术后的立即监测包括心电图 (ECG) 和胸部CT.
- 管理涉及氧气,甘和吗啡化水合物.
主要成果:
- 患者在活检后不久出现了胸部不适和心肌电图变化,表明心肌缺血.
- 胸部CT显示右冠状动脉和左心室中的空气,证实了气栓塞.
- 症状消失,并在24小时内在随访CT上消失了空气.
结论:
- 通过CT指导的肺活检很少会导致冠状动脉空气栓塞.
- 及时诊断和保守的管理可以带来有利的结果.
- 这一案例强调了在干预过程中对罕见并发症的警的重要性.
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