One Case of Air Embolism Caused by Central Venous Catheterization
Abstract：Patient information: A male patient, 89 years old, height 168 cm, weight 67 kg. He was admitted on January 3, 2023, due to chest tightness and shortness of breath after activity for more than 5 years, which had worsened in the past two weeks. He had a history of hypertension for 20 years, treated with Norvasc; benign prostatic hyperplasia, treated with Cozaar and Proscar; cholecystectomy 10 years ago, and right lower limb varicose vein stripping surgery 28 years ago. Diagnosis: (1) Acute exacerbation of chronic heart failure (NYHA class IV); (2) Atrial fibrillation; (3) Hypertension; (4) Gout; (5) Lower limb skin infection; (6) Benign prostatic hyperplasia. Due to the severity of the patient's condition and difficulty in peripheral intravenous fluid administration, a central venous catheterization was planned on February 4. Physical examination: The patient was conscious but uncooperative during the examination. Breath sounds were coarse in both lungs, with some dry rales, and decreased breath sounds in the right lower lung. Spinal deformity with scoliosis. Temperature 36.5°C, heart rate (HR) 96 beats/min, respiratory rate (RR) 20 breaths/min, blood pressure (BP) 107/59 mmHg, pulse oximetry (SpO2) 96%
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Publication Date：2025-02-14
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：2( 59-60 )