延迟性气胸和胸腔积液伴中心静脉导管移位。

Delayed pneumothorax and hydrothorax with central venous catheter migration.

作者信息

Thomas C J, Butler C S

机构信息

Department of Anaesthesia and Intensive Care, Townsville General Hospital, Townsville, Queensland 4810, Australia.

出版信息

Anaesthesia. 1999 Oct;54(10):987-90. doi: 10.1046/j.1365-2044.1999.01033.x.

DOI:10.1046/j.1365-2044.1999.01033.x

PMID:10540065

Abstract

We report a case of delayed pneumothorax, central venous catheter migration and iatrogenic hydrothorax in a 22-year-old female. The left subclavian central venous catheter initially transfixed the lung apex; pneumothorax occurred 24 h later following initiation of positive pressure ventilation. Lung collapse as a result of the pneumothorax caused catheter migration and hydrothorax. Catheter removal and chest drainage led to an uneventful recovery.

摘要

我们报告一例22岁女性发生延迟性气胸、中心静脉导管移位及医源性胸腔积液的病例。左锁骨下中心静脉导管最初穿刺至肺尖；在开始正压通气24小时后发生气胸。气胸导致的肺萎陷引起导管移位和胸腔积液。拔除导管及胸腔引流后患者顺利康复。