Johnson C W, Miller D L, Ognibene F P
Department of Critical Care Medicine, Warren G. Magnuson Clinical Center, Bethesda, Maryland.
Intensive Care Med. 1991;17(2):115-7. doi: 10.1007/BF01691434.
The potential complications of percutaneous venous catheterizations are many and include pneumothorax, subclavian and carotid artery puncture, hematoma, air embolism, catheter malposition, catheter fragment embolization, venous thrombosis and infection. This case report describes a patient who developed angiographically documented pulmonary emboli associated with the changing of a central venous catheter over a guidewire using Seldinger technique. This episode adds the possibility of acute pulmonary emboli to the list of potential complications from central venous catheterizations.
经皮静脉置管的潜在并发症众多，包括气胸、锁骨下动脉和颈动脉穿刺、血肿、空气栓塞、导管位置不当、导管碎片栓塞、静脉血栓形成和感染。本病例报告描述了一名患者，在使用Seldinger技术通过导丝更换中心静脉导管时，血管造影证实发生了肺栓塞。这一事件使急性肺栓塞成为中心静脉置管潜在并发症列表中的一种可能情况。
