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罕见的中心静脉导管位置异常:病例系列

Rare Central Venous Catheter Malpositions: A Case Series.

作者信息

Tanyıldızı Büşra

机构信息

Anesthesiology and Reanimation, Kastamonu Education and Research Hospital, Kastamonu, TUR.

出版信息

Cureus. 2024 Jul 4;16(7):e63872. doi: 10.7759/cureus.63872. eCollection 2024 Jul.

Abstract

Central venous catheters are a procedure that provides vascular access, allowing the application of various clinical treatments and the measurement of some hemodynamic values. It provides access to the internal jugular vein, subclavian vein, and, femoral vein with a large-bore catheter. There are mechanical, infectious, and thromboembolic complications resulting from central venous catheter placement and care. Central venous catheter malposition is a rare catheter complication that may be encountered. The location of the central venous catheter can be evaluated with imaging techniques such as posteroanterior chest radiograph, ultrasonography, central venous catheter waveform, and transesophageal echocardiography. Five malposition cases detected by imaging after the central venous catheter procedure in our clinic are presented.

摘要

中心静脉导管是一种提供血管通路的操作,可用于进行各种临床治疗以及测量一些血流动力学值。它通过大口径导管进入颈内静脉、锁骨下静脉和股静脉。中心静脉导管的放置和护理会引发机械性、感染性和血栓栓塞性并发症。中心静脉导管位置异常是一种可能出现的罕见导管并发症。中心静脉导管的位置可通过诸如后前位胸片、超声检查、中心静脉导管波形图和经食管超声心动图等成像技术进行评估。本文介绍了我们诊所中心静脉导管操作后经成像检测出的5例位置异常病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e31/11224647/6070e465a54a/cureus-0016-00000063872-i01.jpg

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