Porzionato Andrea, Montisci Massimo, Manani Giovanni
Section of Legal Medicine and Forensic Pathology, Department of Environmental Medicine and Public Health, University of Padova, Padua, Italy.
J Clin Anesth. 2003 Dec;15(8):582-6. doi: 10.1016/j.jclinane.2003.02.009.
Subclavian vein cannulation may be complicated by lesions of the peripheral nervous system, such as injury to the recurrent laryngeal nerve, phrenic nerve, and brachial plexus. We describe a case of lesion of the upper trunk of the brachial plexus during multiple attempts at subclavian vein catheterization. This type of complication, ascribed to erroneous application of procedures or anatomical variations, may be minimized by abstaining from multiple attempts at venipuncture.
锁骨下静脉插管可能会并发周围神经系统损伤，如喉返神经、膈神经和臂丛神经损伤。我们描述了一例在多次尝试锁骨下静脉置管过程中发生臂丛上干损伤的病例。这种并发症归因于操作不当或解剖变异，通过避免多次静脉穿刺尝试可将其降至最低程度。
