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[静脉、动脉及心脏导管检查的病理学。尸检研究]

[Pathology of vein, artery and heart catheterization. Studies of autopsies].

作者信息

Mahnke P F

出版信息

Z Gesamte Inn Med. 1986 Jul 1;41(13):378-82.

PMID:3765737
Abstract

Among 17,161 autopsies of children and adults 319 cases with complications after catheterization (catheterization of veins, arteries and heart) were analysed. The following pathologo-anatomical findings were established: Haemorrhages, thromboses, thrombophlebitis, incorrect positions of the catheter, embolism after catheterization, perforations of vessels, heart injuries, pleura injuries, pneumo- and haemothorax as well as sepsis and septicopyaemia. The complications were subdivided according to early and late injuries. In 10% the complications after catheterization were directly and indirectly connected with the cause of death. In the clinic the catheterization of the vein is a necessary diagnostic and therapeutic intervention. The evaluation of an extensive autopsy material, however, shows that severe and lethal complications may appear in connection with catheterization. For these reasons a broad use is prohibited. The demand of a strong indication is unrestrictedly to be supported.

摘要

在对17161例儿童和成人进行的尸检中,分析了319例导管插入术(静脉、动脉和心脏导管插入术)后的并发症病例。确定了以下病理解剖学发现:出血、血栓形成、血栓性静脉炎、导管位置不正确、导管插入术后栓塞、血管穿孔、心脏损伤、胸膜损伤、气胸和血胸以及败血症和脓毒败血症。这些并发症根据早期和晚期损伤进行了细分。10%的导管插入术后并发症与死亡原因直接或间接相关。在临床上,静脉导管插入术是一种必要的诊断和治疗干预措施。然而,对大量尸检材料的评估表明,导管插入术可能会出现严重和致命的并发症。因此,禁止广泛使用。强烈指征的要求应得到无保留的支持。

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