Korean Journal of Pediatrics 2004;47(6):701-703.
Published online June 15, 2004.
A Case of Systemic Air Embolism in a Child after Thoracic Blunt Trauma
Hee Jin Cho, Hyun Ju Lee, In Sil Lee, Hae Joung Yang
Department of Pediatrics, National Police Hospital, Seoul, Korea
유아의 흉부 둔상에 의한 공기 색전증 1례
조희진, 이현주, 이인실, 양혜정
국립경찰병원 소아과
Correspondence: 
Hae Joung Yang, Email: mariamhj89@hanmail.net
Abstract
Systemic air embolism occurs when air enters the pulmonary venous system as a result of a positive gradient caused by low pulmonary venous pressure or increased airway pressure, or both. Systemic air embolism has been frequently reported after penetrating thoracic trauma and can induce life-threatening complications. In blunt thoracic trauma, systemic air embolism has been rarely diagnosed. Because air embolism associated with blunt trauma is more insidious, diagnosis is usually not appreciated unless special circumstances allow discovery of air in major vessels or coronary arteries, such as during emergency resuscitative thoracotomy. We report a case of systemic air embolism in an 18-month-old girl after accidental thoracic blunt trauma and review related literature.
Key Words: Air embolism, Blunt thoracic trauma


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