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一种罕见的中心静脉导管位置异常。

A rare malposition of the central venous catheter.

作者信息

Zaman M H, Mitra P, Bondi E, Gintautas J, Abadir A R

机构信息

Department of Anesthesiology, Brookdale Hospital Medical Center, Brooklyn, NY 11212.

出版信息

Chest. 1990 Sep;98(3):768-70. doi: 10.1378/chest.98.3.768.

DOI:10.1378/chest.98.3.768
PMID:2394162
Abstract

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.

摘要

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。

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引用本文的文献

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A A Pract. 2019 Feb 15;12(4):122-124. doi: 10.1213/XAA.0000000000000956.
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Accidental placement of central venous catheter into internal mammary vein: A rare catheter malposition.中心静脉导管意外置入乳内静脉:一种罕见的导管位置异常。
Ann Card Anaesth. 2017 Oct-Dec;20(4):477-478. doi: 10.4103/aca.ACA_106_17.
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Accidental placement of central venous catheter tip into internal mammary vein.
中心静脉导管尖端意外置入乳内静脉。
Indian J Crit Care Med. 2015 Jun;19(6):365-6. doi: 10.4103/0972-5229.158290.
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Persistent left superior vena cava: diagnosed by bedside echocardiography in a liver transplant patient: a case report.持续性左上腔静脉:在一名肝移植患者中通过床边超声心动图诊断:病例报告
Korean J Anesthesiol. 2014 Dec;67(6):429-32. doi: 10.4097/kjae.2014.67.6.429. Epub 2014 Dec 29.
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Perforation into the pericardial sac of an infant: a rare complication of central venous catheter insertion.婴儿心包囊穿孔:中心静脉导管插入术的一种罕见并发症。
Ulster Med J. 2012 Jan;81(1):50-1.
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J Anesth. 2011 Jun;25(3):462-4. doi: 10.1007/s00540-011-1115-6. Epub 2011 Apr 2.
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