Gilron I, Magder S
Division of Critical Care, McGill University, Montréal, Québec, Canada.
Can J Anaesth. 1995 Feb;42(2):141-3. doi: 10.1007/BF03028267.
This clinical report illustrates a monitoring complication due to a pulsatile femoral vein from tricuspid regurgitation. In this case, the femoral vein of a patient was inadvertently cannulated and exhibited a pulsatile tracing which was mistaken for an arterial pressure tracing. This led to the initial inappropriate use of vasopressors which actually augmented the pulsatility and delayed detection of the error. Although this may be a rare occurrence, the clinician should be aware of its possibility when using invasive monitoring in a patient with tricuspid regurgitation.
本临床报告阐述了一例因三尖瓣反流导致股静脉搏动而出现的监测并发症。在此病例中，一名患者的股静脉被意外插管，且显示出搏动性波形，被误认为是动脉压波形。这导致最初不恰当地使用了血管升压药，实际上增强了搏动性，并延迟了错误的发现。尽管这种情况可能很少见，但临床医生在对三尖瓣反流患者进行有创监测时应意识到其可能性。
