Pina J, Morujão N, Castro-Tavares J
Medical School of Porto, Hospital de S. João, Portugal.
Anaesthesia. 1992 Jan;47(1):30-1. doi: 10.1111/j.1365-2044.1992.tb01949.x.
An internal jugular catheter, which was inserted into a patient with a traumatic haemopneumothorax, accidentally entered the pleural cavity. This was initially undetected because the two signs most frequently used to confirm correct placement, those of blood reflux and fluctuation of central venous pressure with respiration, were positive. A number of precautions are suggested which should be taken when central venous catheters are inserted in patients with thoracic trauma.
一根插入创伤性血气胸患者体内的颈内静脉导管意外进入了胸腔。最初未被发现，因为用于确认正确置管的两个最常用体征，即回血和中心静脉压随呼吸波动，均为阳性。文中提出了一些在为胸部创伤患者插入中心静脉导管时应采取的预防措施。
