右颈内静脉置管术后神经丛损伤患者导管位置异常的超声诊断——病例报告
Sonographic diagnosis of catheter malposition in a patient with postoperative plexus lesion after right internal jugular vein catheterization--case report.
作者信息
Tiefenthaler Werner, Wenning Gregor K, Gruber Hannes, Benzer Arnulf
机构信息
Department of Anesthesiology and Intensive Care Medicine, Innsbruck Medical University, Anichstrasse 35, A-6020 Innsbruck, Austria.
出版信息
Middle East J Anaesthesiol. 2009 Oct;20(3):443-5.
PURPOSE
Postoperative brachial plexus lesion has been reported only rarely after catheterization of the right internal jugular vein (RIJV), and then is usually considered to be the result of puncture hematoma.
CLINICAL FEATURES
We here present the case of plexus brachialis injury after catheterization of the RIJV with ultrasonography showing direct compression of the plexus brachialis by a central venous catheter without evidence of puncture hematoma.
CONCLUSION
Every case of plexus brachialis injury after catheterization of the RIJV should be followed up by an emergency sonogram to rule out hematoma or catheter malposition. Running head: Sonographic diagnosis of catheter malposition after RIJV catheterization.
目的
右颈内静脉（RIJV）置管术后臂丛神经损伤的报道极为罕见，通常认为是穿刺血肿所致。
临床特征
我们在此报告一例右颈内静脉置管术后臂丛神经损伤的病例，超声检查显示中心静脉导管直接压迫臂丛神经，无穿刺血肿迹象。
结论
右颈内静脉置管术后臂丛神经损伤的每一例患者都应进行急诊超声检查以排除血肿或导管位置不当。标题：右颈内静脉置管后导管位置不当的超声诊断
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