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长期发热;一例医疗事故报告

Prolonged Fever; a Case Report of Medical Malpractice.

作者信息

Najari Fares, Malekpour-Alamdari Nasser, Baradaran Kial Ideh, Najari Dorsa, Mirzaei Sahar

机构信息

Department of Forensic Medicine, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Department of General Surgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Arch Acad Emerg Med. 2021 Jul 3;9(1):e49. doi: 10.22037/aaem.v9i1.1217. eCollection 2021.

DOI:10.22037/aaem.v9i1.1217
PMID:34405147
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8366457/
Abstract

Any surgical or preoperative treatment and diagnostic procedure may be associated with complications and risks. Therefore, introduction of complicated cases plays an important role in educating those involved in the diagnosis of patients. Generally, if a physician or a nurse is informed that an item is inadvertently left behind in a patient's body during surgery, he/she is obliged to take action by notifying the healthcare system authorities and informing the patient as soon as possible; otherwise, he/she has committed a disciplinary violation. Here we present a 27-year-old female patient with a history of renal failure with prolonged fever following a retained Shaldon catheter in a patient's chest.

摘要

任何外科手术或术前治疗及诊断程序都可能伴有并发症和风险。因此,引入复杂病例对于培训参与患者诊断的人员起着重要作用。一般来说,如果医生或护士得知手术过程中有物品不慎遗留在患者体内,他/她有义务采取行动,通知医疗系统当局并尽快告知患者;否则,他/她就构成了违纪行为。在此,我们介绍一名27岁的女性患者,她有肾衰竭病史,在胸部留置了Shaldon导管后持续发热。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d25e/8366457/afeb59c502ac/aaem-9-e49-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d25e/8366457/afeb59c502ac/aaem-9-e49-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d25e/8366457/afeb59c502ac/aaem-9-e49-g001.jpg

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引用本文的文献

1
An Overview of Published Articles in in 2021.2021年已发表文章综述。
Arch Acad Emerg Med. 2022 Feb 27;10(1):e18. doi: 10.22037/aaem.v10i1.1555. eCollection 2022.

本文引用的文献

1
Broken and forgotten: A case of unintentionally retained foreign object.破损与遗忘:一例意外留存异物病例。
Respir Med Case Rep. 2020 Jan 18;29:101000. doi: 10.1016/j.rmcr.2020.101000. eCollection 2020.
2
Loss of Guide Wire as an Important Complication of Central Venous Catheterization; a Case Report.导丝丢失作为中心静脉置管的一种重要并发症;一例病例报告。
Emerg (Tehran). 2018;6(1):e17. Epub 2018 Mar 5.
3
Removal of a fractured tunneled cuffed catheter from the right atrium and inferior vena cava by percutaneous snare technique.
经皮圈套技术从右心房和下腔静脉取出断裂的带隧道带 cuff 的导管。
J Vasc Access. 2016 May 7;17(3):e42-3. doi: 10.5301/jva.5000497.
4
Missed Central Venous Guide Wires: A Systematic Analysis of Published Case Reports.错失中心静脉导丝:已发表病例报告的系统分析。
Crit Care Med. 2015 Aug;43(8):1745-56. doi: 10.1097/CCM.0000000000001012.
5
Retrieval of iatrogenic intravascular foreign bodies.医源性血管内异物取出。
J Vasc Surg. 2013 Jan;57(1):276-81. doi: 10.1016/j.jvs.2012.09.002. Epub 2012 Nov 7.
6
Right subclavian vein catheterism complication due to a 'foreign body': a case report.右锁骨下静脉置管因“异物”导致的并发症:一例病例报告。
J Med Case Rep. 2010 Oct 19;4:327. doi: 10.1186/1752-1947-4-327.
7
Preventing complications of central venous catheterization.预防中心静脉置管的并发症。
N Engl J Med. 2003 Mar 20;348(12):1123-33. doi: 10.1056/NEJMra011883.
8
Loss of the guide wire: mishap or blunder?导丝丢失:是意外还是失误?
Br J Anaesth. 2002 Jan;88(1):144-6. doi: 10.1093/bja/88.1.144.
9
Percutaneous retrieval of lost or misplaced intravascular objects.经皮取出丢失或误置的血管内物体。
AJR Am J Roentgenol. 2001 Jun;176(6):1509-13. doi: 10.2214/ajr.176.6.1761509.