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右侧股静脉穿刺时诊断中心静脉导管误入右腰升静脉的线索。

Clues for diagnosing misplaced central venous catheter in the right ascending lumbar vein during right femoral venous access.

作者信息

Tokumine Joho, Moriyama Kiyoshi, Yorozu Tomoko

机构信息

Department of Anesthesiology, Kyorin University School of Medicine, Mitaka 181-8611, Tokyo, Japan.

出版信息

World J Clin Cases. 2024 Aug 26;12(24):5473-5475. doi: 10.12998/wjcc.v12.i24.5473.

DOI:10.12998/wjcc.v12.i24.5473
PMID:39188607
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11269980/
Abstract

The right ascending lumbar vein is difficult to detect on anteroposterior abdominal radiographs because it overlaps with the inferior vena cava on anteroposterior radiographs. Intensive observation by medical providers may be a cue for diagnosis. However, knowledge of catheter misplacement of the right ascending lumbar vein is also necessary, because misplacement cannot be suspected without that awareness.

摘要

右腰升静脉在腹部前后位X线片上难以检测到,因为它在前后位片上与下腔静脉重叠。医疗人员的仔细观察可能是诊断的线索。然而,了解右腰升静脉导管误置的情况也很有必要,因为如果没有这种认识,就无法怀疑误置。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b037/11269980/2d911964852e/WJCC-12-5473-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b037/11269980/2d911964852e/WJCC-12-5473-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b037/11269980/2d911964852e/WJCC-12-5473-g001.jpg

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引用本文的文献

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Medicine (Baltimore). 2025 Sep 5;104(36):e44472. doi: 10.1097/MD.0000000000044472.

本文引用的文献

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World J Clin Cases. 2024 Mar 16;12(8):1430-1436. doi: 10.12998/wjcc.v12.i8.1430.
2
One patient, two malpositioned hemodialysis catheters, (hepatic vein and ascending lumbar vein), no fluoroscopy.
Hemodial Int. 2023 Jan;27(1):E12-E14. doi: 10.1111/hdi.13056. Epub 2022 Nov 15.
3
Intravascular Catheter Accidentally Placed into the Right Lumbar Vein from the Right Femoral Vein: A Case Report.血管内导管意外从右股静脉进入右腰静脉:一例报告。
Am J Case Rep. 2022 Jul 20;23:e936275. doi: 10.12659/AJCR.936275.
4
Central venous catheters misplaced in paraspinal veins: A systematic literature review based on case reports.经椎旁静脉的中心静脉导管异位:基于病例报告的系统文献回顾。
Nurs Crit Care. 2021 Jul;26(4):262-273. doi: 10.1111/nicc.12539. Epub 2020 Sep 1.
5
Accidental cannulation of the left ascending lumbar vein through femoral access-still often unrecognized.股动脉途径意外穿刺左升腰静脉仍常被忽视。
ASAIO J. 2012 Jul-Aug;58(4):435-7. doi: 10.1097/MAT.0b013e3182578fa6.
6
Unusual misplacement of a femoral central venous catheter.
Intensive Care Med. 2011 Oct;37(10):1714-5. doi: 10.1007/s00134-011-2283-4. Epub 2011 Jun 18.
7
Malposition of femoral venous cannulation.股静脉插管位置不当。
Am J Surg. 2005 Jan;189(1):47-8. doi: 10.1016/j.amjsurg.2004.04.010.
8
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9
Paravertebral and intraspinal malposition of transfemoral central venous catheters in newborns.
J Pediatr. 2000 Jun;136(6):837-40.
10
Potentially lethal misplacement of femoral central venous catheters.股静脉中心静脉导管潜在致命性置管错位
Crit Care Med. 1996 May;24(5):893-6. doi: 10.1097/00003246-199605000-00030.