Vernet O, Goy J J, Humair L
Service de médecine, Hôpital communal de La Chaux-de-Fonds.
Schweiz Med Wochenschr. 1989 Jan 28;119(4):125-8.
We report the case of a patient who developed cardiac tamponade after insertion of a central venous catheter. Often in such situations the first symptoms of this severe complication are late and thus delay correct diagnosis. In our patient the critical situation was recognized only after hemodynamic measurements and echocardiography. Emergency pericardiocentesis was followed by a dramatic improvement. The cardinal features of this serious event and the preventive measures to be taken to avoid this situation after placement of a central venous line are discussed.
我们报告了一例在插入中心静脉导管后发生心脏压塞的患者病例。在这种情况下,这种严重并发症的最初症状往往出现较晚,从而延误了正确诊断。在我们的患者中,直到进行血流动力学测量和超声心动图检查后才识别出危急情况。紧急心包穿刺术后病情显著改善。本文讨论了这一严重事件的主要特征以及在放置中心静脉导管后为避免这种情况应采取的预防措施。