锁骨下透析导管位置不当导致的心脏穿孔和心包填塞。
Cardiac perforation and tamponade from a malpositioned subclavian dialysis catheter.
作者信息
Hansbrough J F, Narrod J A, Stiegman G V
出版信息
Nephron. 1982;32(4):363-4. doi: 10.1159/000182880.
PMID:7167211
Abstract
We report a case in which the tip of a malpositioned subclavian dialysis catheter perforated the right atrium and caused a hemopericardium and cardiac arrest. This complication must be immediately recognized and treated, probably by thoracotomy, to ensure survival. Needle aspiration of the pericardium will not remove clotted blood and is unlikely to be of value.
摘要
我们报告了一例病例，其中位置不当的锁骨下透析导管尖端穿破右心房，导致心包积血和心脏骤停。这种并发症必须立即识别并进行治疗，可能需要开胸手术，以确保患者存活。心包穿刺抽液无法清除凝血块，可能没有价值。
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