Mauritz W, Hertz H, Spiss C K, Sporn P
Anasth Intensivther Notfallmed. 1981 Jun;16(3):159-61.
Two cases of hydrothorax are reported which developed as the result of intrapleural catheter malposition after cannulation of the right internal jugular vein. Predisposing factors for this rare, but frequently misdiagnosed, complication are discussed. In both cases control chest radiography with small doses of contrast medium as well as aspiration of blood failed to indicate malpositioning. To prevent this complication the use of larger doses of contrast medium and/or control aspiration shortly after the start of infusion are recommended.
报告了两例因右颈内静脉插管后胸腔内导管位置不当而发生的胸腔积液病例。讨论了这种罕见但经常被误诊的并发症的诱发因素。在这两例病例中，小剂量造影剂的对照胸部X线检查以及血液抽吸均未能显示位置不当。为预防这种并发症，建议使用较大剂量的造影剂和/或在输液开始后不久进行对照抽吸。
