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小儿患者中心静脉导管脱位

Dislocation of central venous catheters in paediatric patients.

作者信息

Giretti R, Caruselli M, Zannini R, de Vivo E, Piattellini G, Bechi P, Catani F, Amici M, Santelli F, Pagni R

机构信息

Anesthesia and Intensive Care Unit, Ospedali Riuniti di Ancona, Presidio Materno-Infantile G. Salesi, Ancona, Italy.

出版信息

J Vasc Access. 2006 Jul-Sep;7(3):132-5. doi: 10.1177/112972980600700308.

Abstract

Children have limited venous access possibilities; therefore, when long-term therapy is necessary, it is better to place a catheter in a central vein. The Port catheter, totally implanted, is less exposed to the risk of infection and permits a normal life. However, there is the possibility of the displacement or fragmentation of the catheter that can be diagnosed initially only by clinical symptoms and later by a chest X-ray. We report a case of disconnection between the Port catheter and the reservoir resulting in catheter migration to the left pulmonary artery.

摘要

儿童的静脉通路选择有限;因此,当需要长期治疗时,最好将导管置入中心静脉。完全植入式的输液港导管感染风险较低,且能让患儿正常生活。然而,导管存在移位或断裂的可能性,最初只能通过临床症状诊断,之后需借助胸部X光检查。我们报告一例输液港导管与贮液器分离,导致导管移位至左肺动脉的病例。

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