Karakaya D, Baris S, Güldogus F, Incesu L, Sarihasan B, Tür A
Department of Anesthesiology, Ondokuz Mayis University, Samsun,
J Clin Anesth. 2000 May;12(3):220-3. doi: 10.1016/s0952-8180(00)00144-6.
Although the subclavian vein is often used for placement of double-lumen hemodialysis catheters, the risk factors for complications for the patients with chronic renal failure are underestimated. We report a case of a patient with chronic renal failure in whom brachial plexus injury was caused by both a compressive hematoma and direct insertion of a needle resulting from a subclavian vein catheterization attempt for hemodialysis. This case emphasizes the need for determining the coagulation status of the patient especially with chronic renal failure before performing invasive procedures.
尽管锁骨下静脉常被用于双腔血液透析导管的置入，但慢性肾衰竭患者并发症的危险因素却被低估了。我们报告一例慢性肾衰竭患者，其在尝试进行锁骨下静脉置管以进行血液透析时，因压迫性血肿和针头直接插入导致臂丛神经损伤。该病例强调在进行侵入性操作前，尤其是对于慢性肾衰竭患者，有必要确定其凝血状态。
