Rubinshteĭn S Ia, Tomchin Ia N, Timofeev Iu M
Arkh Patol. 1978;40(3):65-6.
The authors observed a rare case of complication of catheterization of the subclavian vein in an infant of 1 1/2 months old with staphylococcal pleuropneumonia. After catheterization the baby developed crude blowing systolic murmur in the heart. Forty-one hours after catheterization the baby died with signs of acute cardia insufficiency. The autopsy revealed that the catheter had entered the cavity of the right ventricle where it bent arch-like and its end went into the right atrium. The catheter was a kind of spreader causing insufficiency of the tricuspid valve.
作者观察到一名1个半月大患葡萄球菌性胸膜肺炎的婴儿锁骨下静脉插管罕见并发症的病例。插管后婴儿心脏出现粗糙的吹风样收缩期杂音。插管41小时后婴儿死于急性心功能不全体征。尸检显示导管进入右心室腔,在那里呈弓形弯曲,其末端进入右心房。导管起到了一种扩张器的作用,导致三尖瓣功能不全。