动脉置管拔除后桡神经病变：一种常规重症监护病房操作的罕见并发症。

Radial neuropathy following arterial line removal: A rare complication from a routine ICU procedure.

作者信息

Khalifeh Ali, Khashab Tamara, Huffner Michael, Rezvani Zahra N, Kwan Justin, Toursavadkohi Shahab

机构信息

Division of Vascular Surgery, Department of General Surgery, University of Maryland Medical Center, Baltimore, MD, USA.

Department of Surgery, University of Maryland Medical Center, Baltimore, MD, USA.

出版信息

SAGE Open Med Case Rep. 2018 Feb 27;6:2050313X18760740. doi: 10.1177/2050313X18760740. eCollection 2018.

DOI:10.1177/2050313X18760740

PMID:29511544

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5833207/

Abstract

Radial artery thrombosis is a rare complication of cannulation. There are no reported cases of acute thrombosis and severe acute neuropathy in the setting of cannula discontinuation. We report a case of acute radial nerve mono-neuropathy following thrombosis after radial arterial line removal. The thrombus was immediately evident on exam and diagnostic imaging after cannula discontinuation. The patient was consented and promptly taken to OR for immediate repair. Mild radial neuropathy persisted despite immediate repair. Immediate recognition of signs and symptoms is essential for diagnosis and management, especially in the high-risk population.

摘要

桡动脉血栓形成是插管的一种罕见并发症。在拔除插管的情况下，尚无急性血栓形成和严重急性神经病变的报道病例。我们报告一例桡动脉置管拔除后血栓形成继发急性桡神经单神经病变的病例。拔除插管后，血栓在体格检查和诊断性影像学检查中立即显现。患者签署知情同意书后，迅速被送往手术室进行即刻修复。尽管即刻修复，但仍遗留轻度桡神经病变。对于诊断和管理而言，尤其是在高危人群中，即刻识别体征和症状至关重要。