Zaman M H, Mitra P, Bondi E, Gintautas J, Abadir A R
Department of Anesthesiology, Brookdale Hospital Medical Center, Brooklyn, NY 11212.
Chest. 1990 Sep;98(3):768-70. doi: 10.1378/chest.98.3.768.
The left pericardiacophrenic vein was accidentally cannulated during an attempt to establish central venous catheterization through the left internal jugular vein. Chest roentgenograms and intravenous contrast material confirmed the position of the catheter. Although our patient developed no problems during a five-day cannulation, based on published information, it is advisable to reposition the catheter to avoid perforation of the pericardiacophrenic vein and possible cardiac tamponade.
在试图通过左颈内静脉建立中心静脉置管时,意外地将导管插入了左心包膈静脉。胸部X线片和静脉造影剂证实了导管的位置。尽管我们的患者在置管五天期间未出现问题,但根据已发表的信息,建议重新调整导管位置,以避免心包膈静脉穿孔和可能的心包填塞。