中心静脉置管干预的一种罕见并发症：硬膜下积液。

A Rare Complication of Central Venous Catheterization Interventions: Subdural Effusion.

作者信息

Misirlioglu Merve, Horoz Ozden Ozgur, Yildizdas Dincer, Ekinci Faruk, Yontem Ahmet, Pehlivan Umur Anil

机构信息

Department of Pediatric Intensive Care, Cukurova University Faculty of Medicine, Adana, Turkey.

Department of Radiology, Cukurova University Faculty of Medicine, Adana, Turkey.

出版信息

Indian J Crit Care Med. 2022 Mar;26(3):384-386. doi: 10.5005/jp-journals-10071-24132.

DOI:10.5005/jp-journals-10071-24132

PMID:35519924

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9015927/

Abstract

UNLABELLED

Central venous catheterization interventions are used in various clinics for diagnostic and treatment purposes. Establishing vascular access is a difficult and critical step, especially in critically ill pediatric patients. Complications include ventricular arrhythmia, air embolism, carotid artery puncture, cardiac tamponade, pneumothorax, hemothorax, artery-vein laceration, thoracic duct injury, and catheter malposition can be observed in patients after central venous catheterization interventions. In this case report, a pediatric case was discussed, in which a central venous catheter was inserted without the usage of imaging methods and without confirming the location and was used, even though no blood return was obtained. It was aimed to draw attention to subdural effusions and spinal canal interventions, which is a rare complication of central venous catheterization interventions.

HOW TO CITE THIS ARTICLE

Misirlioglu M, Horoz OO, Yildizdas D, Ekinci F, Yontem A, Pehlivan UA. A Rare Complication of Central Venous Catheterization Interventions: Subdural Effusion. Indian J Crit Care Med 2022;26(3):384-386.

摘要

未标注

中心静脉置管干预在各类临床中用于诊断和治疗目的。建立血管通路是一个困难且关键的步骤，尤其是在危重症儿科患者中。并发症包括室性心律失常、空气栓塞、颈动脉穿刺、心脏压塞、气胸、血胸、动静脉撕裂、胸导管损伤，并且在中心静脉置管干预后的患者中可观察到导管位置不当。在本病例报告中，讨论了一例儿科病例，其中在未使用成像方法且未确认位置的情况下插入了中心静脉导管，即便未获得回血仍使用了该导管。旨在引起对硬膜下积液和椎管干预的关注，这是中心静脉置管干预的一种罕见并发症。