Watson M E
Cardiopulmonary Sciences Department, Northeastern University, Boston, MA, USA.
Respir Care. 1995 Nov;40(11):1141-3.
This report describes a case in which puncture of the brachial artery to obtain a sample for blood-gas analysis resulted in damage to the median nerve with a persisting neuropathy and apparent loss of function. Errors in judgment and contributions to possible negligence included (1) inappropriate choice of sampling site; (2) lack of knowledge of precautions and possible complications; (3) incomplete/inadequate description of optimal procedure in departmental procedure manual; (4) arbitrary selection of the dominant hand.
本报告描述了一例因穿刺肱动脉获取血气分析样本而导致正中神经损伤，出现持续性神经病变且功能明显丧失的病例。判断失误及可能构成疏忽的因素包括：（1）采样部位选择不当；（2）对预防措施和可能的并发症缺乏了解；（3）科室操作手册中对最佳操作程序的描述不完整/不充分；（4）随意选择优势手。
