Dane T E, King E G
Br J Surg. 1975 Jan;62(1):6-10. doi: 10.1002/bjs.1800620103.
A fatal cardiac tamponade caused by an intact polyethylene central venous catheter perforating the wall of the right ventricle is reported. A retrospective review of 105 central venous catheters used in an intensive care unit revealed a high incidence of catheter malposition and a 20 per cent mechanical complication rate. The possible causes of these malpositions and complications are discussed. Guidelines for the safer use of central venous catheters are presented.
据报道，一根完好无损的聚乙烯中心静脉导管穿破右心室壁导致了致命的心包填塞。对重症监护病房使用的105根中心静脉导管进行的回顾性研究显示，导管位置不当的发生率很高，机械并发症发生率为20%。讨论了这些位置不当和并发症的可能原因。提出了更安全使用中心静脉导管的指南。
