Kanter Gary, Connelly Neil Roy
Department of Anesthesiology, Baystate Medical Center, Springfield, MA 01199, USA.
J Clin Anesth. 2005 Jun;17(4):293-5. doi: 10.1016/j.jclinane.2004.06.014.
Central venous cannulation, with or without a flow-directed pulmonary artery catheter, is commonly performed in patients undergoing cardiac surgery to measure central filling pressure and cardiac output, and to administer medications and fluids. The complications of central venous cannulation are numerous and include malposition, arterial puncture, pneumothorax, hemothorax, chylothorax, extravasation of infusate, thrombophlebitis, and infection. We describe a single-lumen catheter that was placed through the hemostatic valve of a 9F percutaneous introducer, which inadvertently entered the left internal mammary (internal thoracic) vein. The current case is unique in that it was diagnosed by visualization of the catheter during surgical dissection.
中心静脉置管，无论是否使用血流导向肺动脉导管，在接受心脏手术的患者中都很常见，用于测量中心充盈压和心输出量，并给药和补液。中心静脉置管的并发症众多，包括位置不当、动脉穿刺、气胸、血胸、乳糜胸、输注液外渗、血栓性静脉炎和感染。我们描述了一根单腔导管，它通过一个9F经皮导入器的止血阀置入，该导入器意外进入了左乳内（胸廓内）静脉。本病例的独特之处在于，它是在手术解剖过程中通过导管可视化诊断出来的。
