中心静脉导管碎片导致延迟性室颤：一例报告

A fragmented segment of a central venous catheter caused delayed ventricular fibrillation: a case report.

作者信息

Takahashi Kei, Arai Takero, Asai Takashi, Okuda Yasuhisa

机构信息

Department of Anesthesiology, Dokkyo Medical University Saitama Medical Center, 2-1-50 Minami-Koshigaya, Koshigaya City, Saitama, 343-8555, Japan.

出版信息

JA Clin Rep. 2023 May 17;9(1):27. doi: 10.1186/s40981-023-00615-x.

DOI:10.1186/s40981-023-00615-x

PMID:37193904

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10188836/

Abstract

BACKGROUND

Central venous port systems may be safely used for chemotherapy of patients with cancer, but several complications may occur associated with their use.

CASE PRESENTATION

An 83-year-old man with heat stroke was transferred to our emergency department, where he was treated and became able to eat on the same day. He had been fit and healthy, except for colorectomy and chemotherapy using a central venous access port placed in the right upper jugular vein 8 years ago. The next day, he suddenly had ventricular fibrillation. Cardiopulmonary resuscitation was successful. Emergency coronary angiography showed a catheter-like foreign body in the coronary sinus. Physicians failed to remove the foreign body using catheter therapy, and ventricular fibrillation occurred repeatedly. After induction of general anesthesia, the fractured catheter was removed surgically. Postoperative course was uneventful.

CONCLUSIONS

A fragmented segment of a catheter may suddenly cause ventricular fibrillation years later.

摘要

背景

中心静脉置管系统可安全用于癌症患者的化疗，但使用过程中可能会出现一些并发症。

病例介绍

一名83岁中暑男性被转至我院急诊科，当天接受治疗后即可进食。他既往身体健康，8年前因结肠癌行结肠切除术，并通过置于右上颈静脉的中心静脉通路端口进行化疗。次日，他突然发生心室颤动。心肺复苏成功。急诊冠状动脉造影显示冠状窦内有一导管样异物。医生尝试通过导管治疗取出异物但未成功，心室颤动反复发生。全麻诱导后，通过手术取出断裂的导管。术后恢复顺利。