Vita M, Torelli P, Bruzzo F
2a Divisione Chirurgica, Ospedale S. Martino, Genova.
Minerva Cardioangiol. 1990 Dec;38(12):551-4.
Cardiac tamponade may be caused by erosion of the right cardiac walls or of the intrapericardial superior vena cava in subjects with a central venous catheter. The underlying cause of this rare complication is direct parietal trauma by the catheter and endarterial damage produced by infused hyperosmolar solutions. High mortality is closely related to erroneous or late diagnosis. Both correct positioning techniques and the use of soft venous catheters are fundamentally important in preventing this complication.
心脏压塞可能由中心静脉导管置入患者的右心壁或心包内上腔静脉侵蚀引起。这种罕见并发症的根本原因是导管造成的直接壁层创伤以及输注高渗溶液导致的动脉内膜损伤。高死亡率与误诊或诊断延迟密切相关。正确的定位技术和使用柔软的静脉导管对于预防这种并发症至关重要。
