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锁骨下静脉置管的一种罕见并发症:纵隔血肿,吸收延迟。

A rare complication of subclavian vein catheterization: mediastinal haematoma, delayed resorption.

作者信息

Sirmali M, Gezer S, Göktaş U, Ertürk H, Kaya S

机构信息

Department of Thoracic Surgery, Atatürk Training and Research Hospital for Chest Disease and Chest Surgery, Ankara, Turkey.

出版信息

Acta Chir Belg. 2005 May-Jun;105(3):324-5. doi: 10.1080/00015458.2005.11679728.

Abstract

Attempts for right and left subclavian vein catheterizations were unsuccessful in a patient followed for pre-eclampsia. Meanwhile, the patient developed chest pain and dyspnea. Chest radiography revealed mediastinal widening. Later, mediastinal haematoma was diagnosed by thoracic computed tomography. At 28 days follow-up, the mediastinal haematoma was resorbed. A review of literature revealed very few cases of mediastinal haematoma secondary to subclavian vein catheterization. In all these cases the haematoma was resorbed, usually within one week. Mediastinal haematoma is a rare complication and its resolution after several weeks adds to its rarity.

摘要

对一名先兆子痫患者进行左右锁骨下静脉置管尝试均未成功。与此同时,患者出现胸痛和呼吸困难。胸部X线检查显示纵隔增宽。后来,通过胸部计算机断层扫描诊断为纵隔血肿。在28天的随访中,纵隔血肿已吸收。文献回顾显示,锁骨下静脉置管继发纵隔血肿的病例非常少。在所有这些病例中,血肿通常在一周内吸收。纵隔血肿是一种罕见的并发症,数周后消退更增加了其罕见性。

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