Olivares López A, Borrás Rubio E, Sánchez Ortega J L, Fernández Contreras R, Riquelme M R, López Rodríguez F
Servicio de Anestesiología, Reanimación y Terapia del Dolor, Hospital Universitario Virgen de la Arrixaca, Murcia.
Rev Esp Anestesiol Reanim. 1991 May-Jun;38(3):189-91.
We report a case of hydrothorax after cannulation of left internal jugular vein that was not detected early. This complication could be due to various factors: first, venous approach from the left side, given its special anatomic arrangement; second, cardiorespiratory dynamics, and head and neck motion on postural changes during the intervention, and third, incorrect fixation of the catheter to the skin. We discuss preventive measures to avoid such complication. Finally, we advise right approach wherever possible as well as routine control of correct placement of the catheter tip by radiographic film with contrast medium.
我们报告一例左颈内静脉插管后发生胸腔积液但未被早期发现的病例。这种并发症可能归因于多种因素：首先，由于其特殊的解剖结构，从左侧进行静脉穿刺；其次，心肺动力学、干预过程中体位改变时的头颈部运动；第三，导管在皮肤上固定不当。我们讨论了避免此类并发症的预防措施。最后，我们建议尽可能采用右侧穿刺方法，并通过含造影剂的X光片对导管尖端的正确位置进行常规检查。
