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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.

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。

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