与颈内静脉穿刺相关的甲状腺下动脉假性动脉瘤：一例报告
Inferior thyroid artery pseudoaneurysm associated with internal jugular vein puncture: a case report.
作者信息
Ruan Jinguang, Zhang Cao, Peng Zhiyou, Tang David Yue, Feng Zhiying
机构信息
Department of Anesthesiology and Pain Medicine, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Department of Anesthesiology, the Fourth Affiliated Hospital, Zhejiang University School of Medicine, Yiwu, China.
出版信息
BMC Anesthesiol. 2015 May 6;15:71. doi: 10.1186/s12871-015-0052-6.
BACKGROUND
Central venous catheter placement is an important aspect of patient care for the administration of fluids and medications and for monitoring purposes. However, it is still associated with significant morbidity and mortality.
CASE PRESENTATION
We report a case of iatrogenic inferior thyroid artery pseudoaneurysm during the central line placement due to internal jugular vein puncture. This is a rare complication of central venous cannulation. Fortunately the pseudoaneurysm was monitored closely, diagnosed promptly and obliterated by using radiological intervention. We discuss the risk factors and management of the unintended artery puncture.
CONCLUSION
The pathway of the management post arterial puncture depends on the size of the needle or catheter, which is direct related to the consequence of arterial injuries. Identifying risk factors is very important to avoid the complications. However, the use of ultrasound guided venipuncture is the most important method to avoid mechanical complications.
背景
中心静脉导管置入是患者护理中进行液体和药物输注以及监测的重要环节。然而，它仍然与显著的发病率和死亡率相关。
病例报告
我们报告一例因颈内静脉穿刺导致中心静脉置管过程中发生医源性甲状腺下动脉假性动脉瘤的病例。这是中心静脉置管的一种罕见并发症。幸运的是，该假性动脉瘤得到密切监测，及时诊断，并通过放射介入治疗使其闭塞。我们讨论了意外动脉穿刺的危险因素及处理方法。
结论
动脉穿刺后的处理方式取决于针头或导管的尺寸，这与动脉损伤的后果直接相关。识别危险因素对于避免并发症非常重要。然而，使用超声引导下静脉穿刺是避免机械性并发症的最重要方法。
Zotero 插件