de Górgolas M, Azofra J, Verdejo C, Torres R, Fernández Guerrero M L
División de Enfermedades Infecciosas (Departamento de Medicina Interna), Fundación Jiménez Díaz, Universidad Autónoma, Madrid.
Med Clin (Barc). 1991 May 18;96(19):742-4.
Septic thrombophlebitis of the large veins of the neck is an uncommon, but extremely severe, complication in carriers of central venous catheters. Treatment of these cases is difficult and, generally, the clinical condition does not permit surgical approach. Four patients with septic central vein thrombophlebitis are reported. They were treated with conservative measures including catheter removal and high-dose parenteral antibiotics for at least four weeks, with excellent results in all. The relevant literature and the therapeutic alternatives are reviewed.
颈部大静脉的感染性血栓性静脉炎是中心静脉导管携带者中一种罕见但极其严重的并发症。这些病例的治疗很困难，而且一般来说，临床状况不允许采用手术方法。本文报告了4例感染性中心静脉血栓性静脉炎患者。他们接受了包括拔除导管和大剂量肠外抗生素治疗至少四周的保守治疗，所有患者均取得了良好效果。本文对相关文献和治疗选择进行了综述。
