Samanta Sujay, Samanta Sukhen, Aggarwal Richa, Soni Kapil Dev
Department of Critical Care Medicine, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
Ann Card Anaesth. 2015 Oct-Dec;18(4):596-8. doi: 10.4103/0971-9784.166483.
Central venous cannulation is often associated with complications during insertion even by expert's hand and with the aid of ultrasound. We encountered a patient for central line insertion through the right internal jugular vein having a retropharyngeal abscess of tubercular origin. We accidentally punctured the abscess cavity leading to increased respiratory distress and subsequent need of intubation to the patient. This kind of complication during central line insertion has never been reported before. We intend to report such a case to alert everyone about the grave complications it can lead to and the methods to minimize them in the times ahead.
即使由专家操作并借助超声引导，中心静脉置管在插入过程中也常伴有并发症。我们遇到一名患者，在经右颈内静脉进行中心静脉置管时，发现其患有结核源性咽后脓肿。我们意外穿刺到脓肿腔，导致患者呼吸窘迫加重，随后需要进行气管插管。此前从未有过关于中心静脉置管过程中出现这种并发症的报道。我们打算报告这样一个病例，以提醒大家注意它可能导致的严重并发症以及今后将其危害降至最低的方法。
