Ishibashi H, Ohta K, Ochiai T, Kaisan T, Ishikawa T, Kubota T, Sato E, Iida M, Yamazaki S
Department of Surgery, Ohta Nishinouchi Hospital, Kooriyama, Japan.
Kyobu Geka. 2002 Mar;55(3):213-5.
We report herein a case of 53-year-old woman who suffered a hydrothorax induced by a central venous catheter which had been placed to facilitate total parenteral nutrition. The central venous catheter was inserted into the superior vena cava through the right subclavian vein. Chest X-ray film after insertion revealed proper position of the tip. She suddenly developed dyspnea and tachycardia due to right-sided hydrothorax 21 days after the insertion of the catheter. Chest X-ray showed massive pleural effusion in the right thorax, and the catheter tip inadvertently turned upward. The continuous mechanical force of the catheter tip against the SVC wall was considered to be the cause of this life-threatening delayed hydrothorax.
我们在此报告一例53岁女性病例，该患者因放置中心静脉导管以利于全胃肠外营养而引发了胸腔积液。中心静脉导管经右锁骨下静脉插入上腔静脉。插入后胸部X光片显示导管尖端位置正确。在插入导管21天后，她突然因右侧胸腔积液出现呼吸困难和心动过速。胸部X光显示右胸腔有大量胸腔积液，且导管尖端意外向上翘起。导管尖端对上腔静脉壁持续的机械力被认为是这种危及生命的迟发性胸腔积液的原因。
