Alkayed Khaldoun, Plautz Gregory, Gowans Kate, Rosenthal Geoffrey, Soldes Oliver, Qureshi Athar M
Department of Pediatrics, King Hussein Cancer Center, Amman, Jordan.
Pediatr Int. 2013 Apr;55(2):e4-6. doi: 10.1111/j.1442-200X.2012.03701.x.
Obstruction and thrombosis of major systemic veins can occur due to indwelling central venous catheters. If obstruction of the innominate vein or superior vena cava occurs, lymphatic drainage can be impaired due to an increase in pressure in the thoracic duct and lymphatics. We describe a case where superior vena cava syndrome, chylopericardium and chylothorax occurred in a 16-year-old girl due to an indwelling central venous catheter. This was successfully treated with removal of the line, anticoagulation and angioplasty of the innominate vein and superior vena cava.
中心静脉留置导管可导致主要体静脉的梗阻和血栓形成。如果无名静脉或上腔静脉发生梗阻，由于胸导管和淋巴管内压力升高，淋巴引流可能会受到损害。我们报告一例16岁女孩因中心静脉留置导管出现上腔静脉综合征、乳糜心包和乳糜胸的病例。通过拔除导管、抗凝以及对无名静脉和上腔静脉进行血管成形术，该病例得到了成功治疗。
