一例罕见的中心静脉导管相关菌血症病例。
An unusual case of central venous catheter-related bacteremia.
作者信息
Badin Julie, François Maud, Birmelé Béatrice, Turmel-Rodrigues Luc, Nivet Hubert, Pengloan Josette
机构信息
Department of Nephrology, Bretonneau Hospital, Tours, France.
出版信息
J Vasc Access. 2012 Jan-Mar;13(1):122-3. doi: 10.5301/JVA.5000010.
Some hemodialysed patients need definitive central venous catheterization. One of the main complications is catheter infection, and each infection must be treated. We report a case of an unusual cause of central venous catheter (CVC) infection: physical examination and catheter opacification demonstrated two pin-holes in the catheter. It was possible to salvage the catheter following a treatment regimen combining systemic antibiotics, antibiotic locks, fibrinolytics, and removal of a catheter segment.
一些接受血液透析的患者需要进行确定性的中心静脉置管。主要并发症之一是导管感染，每次感染都必须进行治疗。我们报告一例中心静脉导管（CVC）感染的不寻常原因：体格检查和导管显影显示导管上有两个针孔。通过联合使用全身性抗生素、抗生素封管、纤溶药物以及切除一段导管的治疗方案，成功挽救了导管。
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