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右侧液气胸误诊为左侧颈内静脉置管后肺不张——1 例报告。

Right hydrothorax misconceived as atelectasis after left internal jugular vein catheterization -A case report-.

机构信息

Department of Anesthesiology and Pain Medicine, Inha University College of Medicine, Incheon, Korea.

出版信息

Korean J Anesthesiol. 2010 Jan;58(1):87-90. doi: 10.4097/kjae.2010.58.1.87. Epub 2010 Jan 31.

Abstract

Central vein catheterization is a common procedure for monitoring the central venous pressure, securing vascular access, administrating vasoactive drugs and removing air embolisms. However, many complications can occur, such as vessel injury, pneumothorax, hydrothorax, nerve injury, arrhythmia and infection at the insertion site. We encountered an unusual complication of a localized right hydrothorax that was initially misinterpreted as an atelectasis after left internal jugular vein catheterization and right lateral positioning for a left lower lobectomy.

摘要

中心静脉置管术是一种常见的监测中心静脉压、建立血管通路、给予血管活性药物和清除空气栓塞的方法。然而,许多并发症可能会发生,如血管损伤、气胸、血胸、神经损伤、心律失常和插入部位感染。我们遇到了一种不寻常的并发症,即局限性右侧血胸,在进行左侧下叶切除术时,先进行左侧颈内静脉置管术和右侧侧卧位,最初误诊为肺不张。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/033b/2872897/4c3c4b5e52a2/kjae-58-87-g001.jpg

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