Oram-Smith J C, Mullen J L, Harken A H, Fitts W T
Surgery. 1978 Mar;83(3):274-6.
A case report of a patient with severe nutritional deficiency and no adequate access to the central venous system for total parenteral nutrition is presented. Operative placement of a catheter directly into the right atrium allowed adequate nutritional support and led to a marked improvement in the clinical status of the patient and a gain of weight from 67 to 98 pounds. The technique of the procedure and its limited indications are discussed.
本文报告了一例严重营养缺乏且无法通过中心静脉系统进行全胃肠外营养的患者。通过手术将导管直接置入右心房，实现了充分的营养支持，患者的临床状况显著改善，体重从67磅增加到98磅。文中讨论了该手术技术及其有限的适应证。
