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颈静脉置管:一例打结病例

Jugular Venous Catheterization: A Case of Knotting.

作者信息

Erkılıç E, Aksoy M, Gümüş T, Sarı S, Kesimci E

机构信息

Anesthesiology and Reanimation Department, Ataturk Training and Research Hospital, Ankara, Turkey.

Faculty of Medicine, University of Yıldırım Beyazıt, Ankara, Turkey.

出版信息

Case Rep Med. 2015;2015:810346. doi: 10.1155/2015/810346. Epub 2015 Nov 8.

DOI:10.1155/2015/810346
PMID:26633975
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4655031/
Abstract

A 79-year-old woman, diagnosed for cancer of the ovary, had a central catheter that was placed with difficulty through the right internal jugular vein intraoperatively. After oophorectomy, it was realized that the catheter was knotted. Thus, the central venous catheter was removed successfully using a traction technique in the operating room. Central venous catheter use may result in various complications, although it has been used as an invasive method for hemodynamic monitoring and fluid and drug infusion. Here, we present catheter knotting in a case with solutions for this complication, under literature review.

摘要

一名79岁的女性被诊断患有卵巢癌,术中经右颈内静脉困难地置入了一根中心静脉导管。卵巢切除术后,发现导管打结。因此,在手术室采用牵引技术成功取出了中心静脉导管。尽管中心静脉导管已被用作血流动力学监测以及液体和药物输注的侵入性方法,但其使用可能会导致各种并发症。在此,我们在文献回顾的基础上,介绍一例导管打结的病例及其针对该并发症的解决方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d210/4655031/ef5d43920971/CRIM2015-810346.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d210/4655031/41cebb008fb6/CRIM2015-810346.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d210/4655031/c9307419c654/CRIM2015-810346.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d210/4655031/ef5d43920971/CRIM2015-810346.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d210/4655031/41cebb008fb6/CRIM2015-810346.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d210/4655031/c9307419c654/CRIM2015-810346.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d210/4655031/ef5d43920971/CRIM2015-810346.003.jpg

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Spontaneous Knot Formation in a Central Venous Catheter.中心静脉导管内自发成结。
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Malfunction of a central venous multilumen access catheter caused by kinking: A case report.因导管扭曲导致的中心静脉多腔穿刺导管故障:一例报告

本文引用的文献

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Evaluation of routine postoperative chest roentgenogram for determination of the correct position of permanent central venous catheters tip.评估术后常规胸部X线片以确定永久性中心静脉导管尖端的正确位置。
J Res Med Sci. 2015 Jan;20(1):89-92.
2
Central venous catheter tip position: another point of view.中心静脉导管尖端位置:另一种观点。
Eur J Anaesthesiol. 2015 Jan;32(1):3-4. doi: 10.1097/EJA.0000000000000050.
3
The role of routine chest radiography for detecting complications after central venous catheter insertion.常规胸部X线摄影在检测中心静脉导管插入术后并发症中的作用。
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Ann Vasc Surg. 2012 Apr;26(3):421.e17-9. doi: 10.1016/j.avsg.2011.06.016. Epub 2012 Jan 27.
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Successful removal of kinked J-guide wire under fluoroscopic guidance during central venous catheterization -A case report-.经荧光透视引导成功取出中心静脉置管过程中扭结的 J 型导丝——病例报告。
Korean J Anesthesiol. 2011 May;60(5):362-4. doi: 10.4097/kjae.2011.60.5.362. Epub 2011 May 31.
6
Damaged guidewire by the introducer needle tip while inserting central venous catheter in subclavian vein by supraclavicular approach.在经锁骨上入路行锁骨下静脉中心静脉导管置入时,导引针尖端损伤导丝。
Saudi J Anaesth. 2010 Sep;4(3):210-2. doi: 10.4103/1658-354X.71576.
7
Case report: managing a knotted Seldinger wire in the subclavian vein during central venous cannulation.病例报告:中心静脉置管时处理锁骨下静脉内打结的塞丁格导丝
Can J Anaesth. 2007 May;54(5):375-9. doi: 10.1007/BF03022660.
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Central venous catheterization.中心静脉置管术
Crit Care Med. 2007 May;35(5):1390-6. doi: 10.1097/01.CCM.0000260241.80346.1B.
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The accuracy of electrocardiogram-controlled central line placement.心电图控制下中心静脉导管置入的准确性。
Anesth Analg. 2007 Jan;104(1):65-70. doi: 10.1213/01.ane.0000250224.02440.fe.
10
Percutaneous removal of two intracardiac and pulmonary truncal catheter fragment by using a snare-loop catheter.使用圈套环导管经皮取出两个心内及肺动脉干导管碎片。
Int J Cardiol. 2007 Apr 4;116(3):413-5. doi: 10.1016/j.ijcard.2006.06.010. Epub 2006 Jul 24.