经“气泡研究”证实中心静脉导管后偶然发现永存左上腔静脉。
Incidental finding of persistent left superior vena cava after 'bubble study' verification of central venous catheter.
作者信息
Pardinas Gutierrez Miguel Agustin, Escobar Luis A, Blumer Vanessa, Cabrera Jorge Luis
机构信息
Department of Medicine, Jackson Memorial Hospital, Miami, Florida, USA.
出版信息
BMJ Case Rep. 2017 Jul 31;2017:bcr-2017-220133. doi: 10.1136/bcr-2017-220133.
Abstract
We report a case of a patient with septic shock who underwent central venous catheter placement in the left internal jugular vein, and a bedside ultrasound 'bubble study' revealed venous cannulation. A chest X-ray postprocedure revealed concern for arterial system catheterisation. However, the possibility of a persistent left superior vena cava was discussed and confirmed with a formal transthoracic echocardiogram and CT. This case demonstrates the importance of ultrasound-guided visualisation of anatomical structures in real time during central venous catheterisation. Other similar cases from the literature are briefly described.
摘要
我们报告一例感染性休克患者，该患者在左颈内静脉进行了中心静脉导管置入，床旁超声“气泡研究”显示静脉置管成功。术后胸部X线检查显示存在动脉系统插管的可能。然而，讨论了永存左上腔静脉的可能性，并通过正式的经胸超声心动图和CT得以证实。该病例表明了在中心静脉导管置入过程中实时超声引导下可视化解剖结构的重要性。文中还简要描述了文献中其他类似病例。
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