LaPenna R, Whinnery C
Postgrad Med. 1978 Dec;64(6):171-2. doi: 10.1080/00325481.1978.11715009.
A 25-year-old woman with diabetic ketoacidosis and esophagitis was given total parenteral nutrition to improve her nutritional status. A central venous catheter inserted in the right subclavian vein was well tolerated for three weeks, when infection developed. The line was replaced by a left subclavian line. Within an hour the patient complained of back pain. A chest x-ray film showed that the tip of the catheter was to the left of the mediastinum and that left pleural effusion was present. The line was removed and 1,500 cc of fluid was removed from the left pleural space. The pleural fluid cleared gradually over several days and the patient became asymptomatic.
一名患有糖尿病酮症酸中毒和食管炎的25岁女性接受了全胃肠外营养以改善其营养状况。插入右锁骨下静脉的中心静脉导管耐受良好达三周，之后发生了感染。该导管被左锁骨下静脉导管取代。在一小时内，患者主诉背痛。胸部X线片显示导管尖端位于纵隔左侧且存在左侧胸腔积液。导管被拔除，从左侧胸腔抽出了1500毫升液体。胸腔积液在数天内逐渐消退，患者症状消失。
