Silva Leonor, Junqueira Ana Filipa, Pato Rita, Farraposo Sílvia, Cruz Ana Rita, Rocha Teresa
Anesthesiology, Centro Hospitalar Universitário de Lisboa Central, Lisbon, PRT.
Cureus. 2022 Sep 2;14(9):e28700. doi: 10.7759/cureus.28700. eCollection 2022 Sep.
Cannulation of the internal jugular vein is often necessary for the management of critically ill patients. Despite being a very common procedure and performed more and more safely, several complications still occur. Horner's Syndrome (HS) is one of those complications described before the use of ultrasound as a method of guidance. HS is caused by functional interruption of sympathetic nerve supply to the eye, leading to a classic triad of ipsilateral ptosis, miosis, and anhidrosis. We present the case of a patient, in need of emergent surgery to control the hemorrhagic focus after delivery, with a transient HS secondary to internal jugular vein cannulation under real-time ultrasound guidance.
对于重症患者的管理，颈内静脉置管常常是必要的。尽管这是一种非常常见的操作，并且实施得越来越安全，但仍会出现一些并发症。霍纳综合征（HS）是在超声作为引导方法使用之前就已描述的并发症之一。HS是由眼部交感神经供应的功能中断引起的，导致同侧上睑下垂、瞳孔缩小和无汗这一典型三联征。我们报告一例患者，在分娩后需要紧急手术以控制出血灶，在实时超声引导下进行颈内静脉置管后出现了短暂性HS。
