中心静脉导管移位后全胃肠外营养（TPN）的外渗

Hong SungMin, Kim Sung Hyun, Lee Hyun-Kyung, Lee Young-Min, Kim Mi-Yeong, Lee Hongyeul, Lee Ho-Young

Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Busan Paik Hospital, Inje University College of Medicine, Republic of Korea.

Respir Med Case Rep. 2022 Feb 28;37:101623. doi: 10.1016/j.rmcr.2022.101623. eCollection 2022.

Central venous catheterization is a preferred method for intensive care patients who require total parenteral nutrition (TPN). TPN can cause tissue damage due to osmotic effects and the presence of ions. We report a case of TPN extravasation into the pleural cavity due to a shift in position of a subclavian central vein catheter. In this report, we discuss the importance of serial follow up of chest X-ray examination in patients with central vein catheterization.

中心静脉置管是需要全胃肠外营养（TPN）的重症监护患者的首选方法。TPN可因渗透作用和离子的存在而导致组织损伤。我们报告1例因锁骨下中心静脉导管位置改变导致TPN渗漏至胸腔的病例。在本报告中，我们讨论了对中心静脉置管患者进行胸部X线检查系列随访的重要性。