Najari Fares, Amirian Mohamadjavad, Sadjadi Sara, Baradaran Kayal Ideh
Department of Forensic Medicine and Toxicology, Shohadaye Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Legal Medicine Organization, Alborz University of Medical Sciences, Karaj, Iran.
Emerg (Tehran). 2018;6(1):e17. Epub 2018 Mar 5.
Many critically ill patients need aggressive procedures, such as central venous catheterization. The complication rate of central venous line placement is estimated to be 15%. Common complications include arterial puncture, hematoma, pneumothorax, hemothorax, arrhythmia, thoracic duct injury, infection, and thrombosis. Cardiac tamponade, pericardial effusions, pleural effusions, air or guidewire embolisms, and lost guide wires are rare but severe complications. Here we report a case of lost guide wire following central venous line insertion.
许多重症患者需要进行侵入性操作，如中心静脉置管。中心静脉置管的并发症发生率估计为15%。常见并发症包括动脉穿刺、血肿、气胸、血胸、心律失常、胸导管损伤、感染和血栓形成。心脏压塞、心包积液、胸腔积液、空气或导丝栓塞以及导丝丢失是罕见但严重的并发症。在此，我们报告一例中心静脉置管后导丝丢失的病例。
