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心内血流导向球囊导管打结。简单的手术取出方法。

Knotting of intracardiac flow-directed balloon catheter. Simple surgical method of removal.

作者信息

Michel L, Installe E, Joucken K

出版信息

Chest. 1983 Jan;83(1):147-8. doi: 10.1378/chest.83.1.147.

DOI:10.1378/chest.83.1.147
PMID:6848322
Abstract

A complete knot occurred in a 7F flow-directed balloon catheter inserted through the right internal jugular vein. The patient was intubated and placed under positive pressure ventilation. After gaining surgical exposure of the venipuncture site, a purse-string of Prolene 4--0 suture was placed around it. The patient was placed in the Trendelenburg position and the knotted catheter withdrawn, while the purse-string suture was immediately tightened avoiding uncontrollable hemorrhage or massive air embolism.

摘要

一根经右颈内静脉插入的7F血流导向球囊导管发生了完全打结。患者已插管并接受正压通气。在手术暴露静脉穿刺部位后,在其周围放置了一根4-0普理灵缝线的荷包缝合线。患者置于头低脚高位,将打结的导管拔出,同时立即收紧荷包缝合线,避免不可控制的出血或大量空气栓塞。

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