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中心静脉导管移位后全胃肠外营养（TPN）的外渗

Extravasation of TPN following central venous catheter migration.

作者信息

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

机构信息

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

出版信息

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

DOI:10.1016/j.rmcr.2022.101623
PMID:35313559
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8933707/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/608b/8933707/185ed13034fb/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/608b/8933707/bf3b2a34dbc0/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/608b/8933707/254b8cec515b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/608b/8933707/18d3bb8719be/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/608b/8933707/185ed13034fb/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/608b/8933707/bf3b2a34dbc0/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/608b/8933707/254b8cec515b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/608b/8933707/18d3bb8719be/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/608b/8933707/185ed13034fb/gr4.jpg

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1
Extravasation of TPN following central venous catheter migration.中心静脉导管移位后全胃肠外营养（TPN）的外渗
Respir Med Case Rep. 2022 Feb 28;37:101623. doi: 10.1016/j.rmcr.2022.101623. eCollection 2022.
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引用本文的文献

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A 66-Year-Old Man with Intrapleural Leakage of Parenteral Nutrition Fluid Due to a Malpositioned Central Venous Catheter.一名66岁男性因中心静脉导管位置不当导致肠外营养液胸膜腔内渗漏
Am J Case Rep. 2025 Aug 14;26:e948181. doi: 10.12659/AJCR.948181.
2
Total parenteral nutrition pleural effusion after peripherally inserted central venous catheter insertion despite fluoroscopic confirmation.尽管有透视确认，但在经外周静脉穿刺中心静脉置管后仍发生了全胃肠外营养性胸腔积液。
SAGE Open Med Case Rep. 2023 Jan 10;11:2050313X221147421. doi: 10.1177/2050313X221147421. eCollection 2023.

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Extravasation injuries.外渗性损伤
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