Widmer A, Zimmerli W
Departement für Innere Medizin, Kantonsspital Basel.
Schweiz Med Wochenschr. 1988 Jul 12;118(27-28):1053-5.
A 75-year-old man suffered from suppurative thrombophlebitis as a complication of a peripheral venous catheter (1.2 x 45 mm Teflon). In spite of rapid removal of the catheter at the time of clinical diagnosis of phlebitis and adequate antibiotic treatment, the Staphylococcus aureus sepsis developed into lethal endocarditis. The risk of thrombophlebitis can be minimized by limiting (less than 72 hours) the duration of cannulation. If pus is detected within the lumen of the vein, surgical excision of the involved vein remains the treatment of choice.
一名75岁男性因外周静脉导管（1.2×45mm聚四氟乙烯导管）并发症发生化脓性血栓性静脉炎。尽管在临床诊断静脉炎时迅速拔除了导管并进行了充分的抗生素治疗，但金黄色葡萄球菌败血症仍发展为致命性心内膜炎。通过限制置管时间（少于72小时）可将血栓性静脉炎的风险降至最低。如果在静脉腔内检测到脓液，手术切除受累静脉仍是首选治疗方法。
