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中心静脉导管盘绕：一种罕见且可预防的并发症。

Coiling of Central Venous Catheter: A Rare and Preventable Complication.

作者信息

Hayaran Nitin, Goyal Nitin, Joy Sudipta, Jain Aruna

机构信息

Department of Anaesthesia, Lady Hardinge Medical College, New Delhi, India.

出版信息

Anesth Essays Res. 2017 Jul-Sep;11(3):773-775. doi: 10.4103/aer.AER_47_17.

DOI:10.4103/aer.AER_47_17
PMID:28928586
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5594805/
Abstract

Central venous catheter (CVC) placement is not only restricted to Intensive Care Units and operation theaters but its horizon has also expanded to the bedside placements. Meticulous care and aids such as ultrasound and fluoroscopy dramatically increase the successful placement of needles, guidewires, and catheters, but still a large number of catheter misplacements can occur. The formation of a loop in CVC is a rare complication occurring mostly during right-sided catheterization. We report a rare complication of coiling of left subclavian CVC.

摘要

中心静脉导管（CVC）置管不仅局限于重症监护病房和手术室，其应用范围还扩展到了床边置管。诸如超声和荧光透视等精心的护理及辅助手段显著提高了针、导丝和导管的成功置入率，但仍可能发生大量导管误置情况。CVC形成环路是一种罕见的并发症，大多发生在右侧导管插入过程中。我们报告一例左锁骨下CVC盘绕的罕见并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1044/5594805/36fd191fb00a/AER-11-773-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1044/5594805/2d651a652b92/AER-11-773-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1044/5594805/4bd5f67dee33/AER-11-773-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1044/5594805/36fd191fb00a/AER-11-773-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1044/5594805/2d651a652b92/AER-11-773-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1044/5594805/4bd5f67dee33/AER-11-773-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1044/5594805/36fd191fb00a/AER-11-773-g003.jpg

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本文引用的文献

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When one port does not return blood: two case reports of rare causes for misplaced central venous catheters.当一个端口不回血时：中心静脉导管位置异常罕见原因的两例病例报告
Braz J Anesthesiol. 2016 Jan-Feb;66(1):78-81. doi: 10.1016/j.bjane.2014.02.007. Epub 2014 Mar 6.
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Optimum depth of central venous catheter - Comparision by pere's, landmark and endocavitory (atrial) ECG technique: A prospective study.中心静脉导管的最佳深度——经佩雷法、体表标志法和心腔内（心房）心电图技术的比较：一项前瞻性研究。
Anesth Essays Res. 2013 May-Aug;7(2):216-20. doi: 10.4103/0259-1162.118966.
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Coiling of central venous catheter in the left subclavian vein, a rare complication.
中心静脉导管在左锁骨下静脉内盘绕，一种罕见的并发症。
Indian J Crit Care Med. 2014 Feb;18(2):105-6. doi: 10.4103/0972-5229.126083.
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Recurrent central venous malposition caused by severe lower airway distortion.
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Folding back of central venous catheter in the internal jugular vein: Methods to diagnose it at the time of insertion?颈内静脉中心静脉导管折返：插入时的诊断方法？
Indian J Anaesth. 2013 Jan;57(1):104-5. doi: 10.4103/0019-5049.108600.
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Misplaced central venous catheters: applied anatomy and practical management.错位的中心静脉导管：应用解剖与实际处理。
Br J Anaesth. 2013 Mar;110(3):333-46. doi: 10.1093/bja/aes497. Epub 2013 Feb 5.
7
Coiled central venous catheter in superior vena cava.上腔静脉内的盘绕式中心静脉导管。
Indian J Anaesth. 2010 Jul;54(4):351-2. doi: 10.4103/0019-5049.68396.
8
A complication of subclavian venous catheterization: extravascular kinking, knotting, and entrapment of the guidewire -A case report-.锁骨下静脉置管的并发症：导丝的血管外扭曲、打结和嵌顿——一例报告。
Korean J Anesthesiol. 2010 Mar;58(3):296-8. doi: 10.4097/kjae.2010.58.3.296. Epub 2010 Mar 29.
9
Catheter malposition following supraclavicular approach for subclavian vein catheterisation--case reports.锁骨上入路锁骨下静脉置管后导管位置异常——病例报告
Middle East J Anaesthesiol. 2008 Oct;19(6):1405-10.
10
Preventing complications of central venous catheterization.预防中心静脉置管的并发症。
N Engl J Med. 2003 Mar 20;348(12):1123-33. doi: 10.1056/NEJMra011883.