外周静脉导管断裂并栓子进入肺动脉。
Peripheral venous catheter fracture with embolism into the pulmonary artery.
作者信息
Dell'Amore Andrea, Ammari Chady, Campisi Alessio, D'Andrea Rocco
机构信息
Thoracic Surgery Unit, S. Orsola-Malpighi University Hospital, Bologna, Italy.
Department of Anesthesiology, S. Orsola-Malpighi University Hospital, Bologna, Italy.
出版信息
J Thorac Dis. 2016 Dec;8(12):E1581-E1584. doi: 10.21037/jtd.2016.12.02.
Abstract
Peripheral vein catheterization is generally considered a harmless procedure. Venous catheter rupture associated with pulmonary embolism is an unlikely but potentially serious complication. We report a case of a peripheral venous catheter (PVC) fracture with pulmonary artery embolization in the left lower lobe treated successfully by a surgical approach. The positioning of a PVC is not always a harmless procedure. Every time there are difficulties in positioning or in removal of a catheter device, it should be carefully inspected to verify integrity. The advisability of removal of these small foreign bodies is debated; percutaneous retrieval is preferred, while surgery should be discussed case by case.
摘要
外周静脉置管通常被认为是一种无害的操作。与肺栓塞相关的静脉导管破裂是一种不太可能但潜在严重的并发症。我们报告一例外周静脉导管（PVC）断裂并导致左下叶肺动脉栓塞的病例，该病例通过手术方法成功治疗。PVC的放置并不总是无害的操作。每次在导管装置的放置或移除出现困难时，都应仔细检查以确认其完整性。对于移除这些小异物是否明智存在争议；首选经皮取出，而手术应逐案讨论。
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