Suárez-Peñaranda J M, Concheiro-Carro L
Institute of Legal Medicine, University of Santiago de Compostela, Spain.
Am J Forensic Med Pathol. 1995 Jun;16(2):124-6. doi: 10.1097/00000433-199506000-00008.
The use of central venous catheters has greatly increased and so has the incidence of major complications. Catheter tip embolism is especially hazardous and sometimes may be fatal. We report a case of sudden death as a late and unusual complication of a catheter fragment embolism. The patient, a 39-year-old alcoholic man, suffered a nonreversible cardiac arrest shortly after his admission to hospital. Autopsy revealed a 54-cm-long fragment of an intravenous catheter in the right ventricle and the pulmonary trunk. Death was attributed to a cardiac arrhythmia.
中心静脉导管的使用大幅增加,主要并发症的发生率也随之上升。导管尖端栓塞尤其危险,有时可能致命。我们报告一例导管碎片栓塞的迟发性异常并发症导致猝死的病例。患者为一名39岁的酗酒男性,入院后不久即发生不可逆的心脏骤停。尸检发现右心室和肺动脉主干中有一段54厘米长的静脉导管碎片。死亡原因是心律失常。