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长期心内导管栓塞。一项不寻常的尸检发现。

Longstanding intracardiac catheter embolism. An unusual autopsy finding.

作者信息

Suárez-Peñaranda J M, Concheiro-Carro L

机构信息

Institute of Legal Medicine, University of Santiago de Compostela, Spain.

出版信息

Am J Forensic Med Pathol. 1995 Jun;16(2):124-6. doi: 10.1097/00000433-199506000-00008.

Abstract

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.

摘要

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。

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