Department of Anesthesiology and Pain Medicine, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea.
Korean J Anesthesiol. 2010 Dec;59 Suppl(Suppl):S211-7. doi: 10.4097/kjae.2010.59.S.S211. Epub 2010 Dec 31.
Central venous catheterization is typically used for the anesthetic management of patients undergoing a major surgery or care of patients in Intensive Care Unit (ICU). The occurrence of complications associated with central venous catheterization such as pneumothorax or vascular injury have decreased, while delayed complications such as hydrothorax, hydromediastinum, or cardiac tamponade have risen recently. We report a case of complications of bilateral hydrothorax with cardiac tamponade by superior vena cava perforation due to continuous mechanical force of the looped central venous catheter tip against SVC wall after subclavian vein cannulation.
中心静脉置管术通常用于接受大手术的患者的麻醉管理或重症监护病房(ICU)患者的护理。与中心静脉置管术相关的并发症(如气胸或血管损伤)的发生率已经降低,而延迟性并发症(如胸腔积液、纵隔水肿或心脏压塞)的发生率最近有所上升。我们报告了一例因锁骨下静脉穿刺后loop 型中心静脉导管尖端持续机械力作用于上腔静脉壁而导致上腔静脉穿孔引起双侧胸腔积液伴心脏压塞的并发症。