通过颈外静脉静脉插管开放接头发生空气栓塞。
Air embolism through open hub of external jugular vein intravenous cannula.
作者信息
Mohanty Chitta R, Ahmad Suma R, Jain Mantu, Sriramka Bhavna
机构信息
Department of Trauma & Emergency, AIIMS, Bhubaneswar, 751019, India.
Department of Anaesthesia and Critical Care, AIIMS, Bhubaneswar, 751019, India.
出版信息
Turk J Emerg Med. 2019 Jun 26;19(3):117-119. doi: 10.1016/j.tjem.2019.06.002. eCollection 2019 Jul.
INTRODUCTION
Venous air embolism is a catastrophic complication that can result in sudden cardiac arrest and death. Massive air embolism has been reported with central venous catheter through the internal jugular and subclavian veins. Though external jugular vein is a potential site of an air embolism to cardiac chambers and subsequently to vital organs such as brain, heart and lungs but has not been reported yet in literature.
CASE PRESENTATION
We are reporting a case of sudden pulmonary air embolism in a patient through the open hub of an intravenous cannula, vigilant monitoring and timely action saved the patient from a catastrophic outcome.
CONCLUSION
We recommend vigilant monitoring and adequate precaution in patients with external jugular venous cannulation in the operation theater, intensive care unit or wards to prevent iatrogenic complications.
引言
静脉空气栓塞是一种灾难性并发症，可导致心脏骤停和死亡。已有通过颈内静脉和锁骨下静脉的中心静脉导管发生大量空气栓塞的报道。虽然颈外静脉是空气进入心腔并随后进入脑、心脏和肺等重要器官的潜在部位，但文献中尚未有相关报道。
病例报告
我们报告一例患者通过静脉留置针开放接头发生突发性肺空气栓塞的病例，通过密切监测和及时采取措施，使患者避免了灾难性后果。
结论
我们建议在手术室、重症监护病房或病房中，对行颈外静脉置管的患者进行密切监测并采取充分预防措施，以防止医源性并发症。
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