조영증강 흉부전산화 단층촬영 후 발생한 대량의 공기 색전증 1예
A Case of Massive Air Embolism after Contrast-enhanced Computed Tomography
최강현 (충북대학교)
김성진 (충북대학교)
길호 (충북의대)
박찬선 (충북의대)
정지인 (충북의대)
최은영 (충북의대)
신윤미 (충북의대)
이기만 (충북대학교)
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초록
정맥 내 공기 색전은 조영제 주입과 관련된 합병증으로 알려져 있다. 대부분의 경우 색전된 공기의 양이 적고 증상이 없으나 대량의 공기 색전은 치명적일 수 있다. 저자들은 흉부 CT 촬영 중 조영제 주입과 관련하여 발생한 대량의 우심실 내 공기 색전과 보존적 치료로 후유증 없이 회복된 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
- keywords
- Air embolism, Contrast-enhanced computed tomography, Complication., Air embolism, Contrast-enhanced computed tomography, Complication.
Abstract
A venous air embolism is a complication of various venous access procedures such as contrast-enhanced computed tomography (CECT). Although most cases of iatrogenic venous air embolisms during CECT involve a few milliliters of air and are asymptomatic, a massive venous air embolism can be fatal. We report a case of a massive intraventricular air embolism after CECT with a review of the literature regarding the pathophysiology and treatment of air embolisms. (Tuberc Respir Dis 2007; 63: 178-182)
- keywords
- Air embolism, Contrast-enhanced computed tomography, Complication., Air embolism, Contrast-enhanced computed tomography, Complication.
참고문헌
(1999) Air embolism after intravenous injection of contrast material,
(2003) Gas embolism: pathophysiology and treatment,
(2000) Gas embolism,
(2004) Air embolism: a case series and review,
(1998) Air bubbles in the subclavian or internal jugular veins: a common finding on contrast-enhanced CT,
(radiology1988;167) Nonfatal venous air embolism after contrast-enhanced CT,
(jcomputassisttomogr1987;11) Venous air embolization as a complication of pressure injection of contrast media,
(1997) Vascular air embolism: location, frequency, and cause on electron-beam CT studies of the chest,
(2004) Iatrogenic venous air embolism caused by CT injector: from a risk management point of view,
(2006) Massive intraventricular air embolism after contrast-enhanced CT: report of two cases,
(2001) Air embolism during insertion of central venous catheters,
Incidence and cardiac effects of systemic venous air embolism Echocardiographic evidence of arterial embolization via noncardiac shunt,
(2003) Iatrogenic venous air embolism during contrast enhanced computed tomography: a report of two cases,
(1996) Comparison of the effects of controlled ventilation with 100% oxygen, 50% oxygen in nitrogen, and 50% oxygen in nitrous oxide on responses to venous air embolism in pigs,
(2002) Iatrogenic cerebral air embolism: importance of an early hyperbaric oxygenation,
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