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一根堵塞的血液透析中心静脉导管。

A stuck hemodialysis central venous catheter.

作者信息

Field M, Pugh J, Asquith J, Davies S, Pherwani A D

机构信息

Department of Vascular and General Surgery, University Hospital North Staffordshire, The Medical School, Keele University, Stoke-on-Trent, UK.

出版信息

J Vasc Access. 2008 Oct-Dec;9(4):301-3.

PMID:19085904
Abstract

BACKGROUND

A growing number of hemodialysis patients are dependent upon central venous catheters (CVCs) for long-term vascular access. Although many complications of CVCs have been documented, the phenomenon of the stuck catheter is described relatively infrequently.

CASE REPORT

We describe a case where attempts to remove the line by exploration of the jugular insertion site in theater were unsuccessful and the line was internalized.

DISCUSSION

The case is then discussed with all available cases in the literature to suggest principles of managing and preventing the stuck catheter phenomenon.

摘要

背景

越来越多的血液透析患者依赖中心静脉导管(CVC)作为长期血管通路。尽管CVC的许多并发症已有记录,但导管堵塞现象的描述相对较少。

病例报告

我们描述了一例在手术室通过探查颈内静脉置管部位试图拔管但未成功,导管滞留体内的病例。

讨论

随后结合文献中所有可得病例对该病例进行讨论,以提出处理和预防导管堵塞现象的原则。

相似文献

1
A stuck hemodialysis central venous catheter.一根堵塞的血液透析中心静脉导管。
J Vasc Access. 2008 Oct-Dec;9(4):301-3.
2
Successful removal of stuck and infected haemodialysis catheter via endoluminal balloon dilatation after unsuccessful surgical cut-down.在手术切开失败后,通过腔内球囊扩张成功移除堵塞并感染的血液透析导管。
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The stuck catheter: a hazardous twist to the meaning of permanent catheters.堵塞的导管:对永久性导管含义的危险转变。
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引用本文的文献

1
[Endoluminal balloon dilatation of impacted central venous catheter-Case report and literature review].[腔内球囊扩张术治疗中心静脉导管堵塞——病例报告及文献复习]
Chirurgie (Heidelb). 2023 Aug;94(8):714-718. doi: 10.1007/s00104-023-01861-6. Epub 2023 Apr 28.
2
Report on an Italian survey of 72 stuck hemodialysis catheters.意大利 72 例血液透析导管滞留的调查报告。
J Nephrol. 2023 Mar;36(2):359-365. doi: 10.1007/s40620-022-01474-y. Epub 2022 Oct 21.
3
Adhered ECMO cannula in COVID-19 related severe acute respiratory failure.COVID-19 相关严重急性呼吸衰竭患者的体外膜肺氧合留置导管。
J Cardiothorac Surg. 2022 Oct 8;17(1):263. doi: 10.1186/s13019-022-02004-4.
4
Stuck fragment of totally implantable central venous access ports during removal: risk factor analysis in children.完全植入式中心静脉通路港取出时的滞留碎片:儿童的风险因素分析。
BMC Surg. 2021 Jun 2;21(1):276. doi: 10.1186/s12893-021-01271-7.
5
Endoluminal dilatation for embedded hemodialysis catheters: A case-control study of factors associated with embedding and clinical outcomes.嵌入式血液透析导管的腔内扩张:一项关于与导管嵌入及临床结局相关因素的病例对照研究
PLoS One. 2017 Mar 27;12(3):e0174061. doi: 10.1371/journal.pone.0174061. eCollection 2017.
6
Hemodialysis Tunneled Catheter Noninfectious Complications.血液透析带隧道导管非感染性并发症
Can J Kidney Health Dis. 2016 Sep 27;3:2054358116669130. doi: 10.1177/2054358116669130. eCollection 2016.
7
Application of Hong's technique for removal of stuck hemodialysis tunneled catheter to pacemaker leads.洪氏技术在拔除陷入起搏器导线的血液透析隧道导管中的应用。
Radiol Case Rep. 2016 Dec 30;12(1):97-101. doi: 10.1016/j.radcr.2016.11.008. eCollection 2017 Mar.
8
A stuck haemodialysis central venous catheter: not quite open and shut!一根堵塞的血液透析中心静脉导管:并非简单的“开”与“关”之事!
J Surg Case Rep. 2015 Apr 5;2015(4):rjv032. doi: 10.1093/jscr/rjv032.
9
Dealing with stuck hemodialysis catheter: state of the art and tips for the nephrologist.处理堵塞的血液透析导管:最新进展及给肾脏病医生的建议
J Nephrol. 2014 Dec;27(6):619-25. doi: 10.1007/s40620-014-0150-4. Epub 2014 Oct 16.