全胃肠外营养期间锁骨下静脉导管所致心脏穿孔的成功诊断与治疗
Successful diagnosis and treatment of cardiac perforation due to subclavian catheter during total parenteral nutrition.
作者信息
Jaurrieta-Más E, Rafecas A, Pallarés R, Sitges-Serra A, Sitges-Creus A
出版信息
JPEN J Parenter Enteral Nutr. 1982 Mar-Apr;6(2):157-9. doi: 10.1177/0148607182006002157.
PMID:6808177
Abstract
A case of atrial perforation by a subclavian vein catheter, which was inserted for total parenteral nutrition (TPN) is reported. Acute thoracic symptoms developed 3 days after the infusion was started. The diagnosis was correctly made by demonstrating contrast medium within the pericardial sac. The catheter was withdrawn and the patient recovered satisfactorily. The clinical picture and the differential diagnosis of this complication are discussed.
摘要
报道了1例锁骨下静脉导管致心房穿孔的病例，该导管是为进行全胃肠外营养（TPN）而插入的。输液开始3天后出现急性胸部症状。通过在心包腔内显示造影剂正确做出了诊断。拔出导管后，患者恢复良好。讨论了该并发症的临床表现及鉴别诊断。
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引用本文的文献
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Cardiac tamponade from central venous catheterization.
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