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中心静脉导管置入过程中与导丝相关的并发症：一例病例报告及文献综述

Guidewire-Related Complications during Central Venous Catheter Placement: A Case Report and Review of the Literature.

作者信息

Khasawneh Faisal A, Smalligan Roger D

机构信息

Division of Critical Care Medicine, Department of Internal Medicine, Texas Tech University Health Sciences Center, 1400 S. Coulter, Amarillo, TX 79106, USA.

Department of Internal Medicine, Texas Tech University Health Sciences Center, 1400 S. Coulter, Amarillo, TX 79106, USA.

出版信息

Case Rep Crit Care. 2011;2011:287261. doi: 10.1155/2011/287261. Epub 2011 Oct 3.

DOI:10.1155/2011/287261
PMID:24826318
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4010052/
Abstract

Seldinger's technique is widely used to place central venous and arterial catheters and is generally considered safe. The technique does have multiple potential risks. Guidewire-related complications are rare but potentially serious. We describe a case of a lost guidewire during central venous catheter insertion followed by a review of the literature of this topic. Measures which can be taken to prevent such complications are explained in detail as well as recommended steps to remedy errors should they occur.

摘要

塞尔丁格技术广泛用于放置中心静脉导管和动脉导管，通常被认为是安全的。该技术确实存在多种潜在风险。导丝相关并发症虽罕见但可能很严重。我们描述了一例在中心静脉导管插入过程中导丝丢失的病例，并对该主题的文献进行了综述。详细解释了可采取的预防此类并发症的措施，以及在出现错误时建议采取的补救步骤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c30/4010052/5a0acf68cc57/CRIM.CRITICAL.CARE2011-287261.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c30/4010052/bc1ba5ea2e58/CRIM.CRITICAL.CARE2011-287261.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c30/4010052/bba64c72c60e/CRIM.CRITICAL.CARE2011-287261.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c30/4010052/5a0acf68cc57/CRIM.CRITICAL.CARE2011-287261.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c30/4010052/bc1ba5ea2e58/CRIM.CRITICAL.CARE2011-287261.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c30/4010052/bba64c72c60e/CRIM.CRITICAL.CARE2011-287261.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c30/4010052/5a0acf68cc57/CRIM.CRITICAL.CARE2011-287261.004.jpg

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