Page B, Dupuy C, Benalia H, Brisset B, Sari R, Simon N, Buisson C, Bourquelot P
Service de Réanimation, Hôpital Necker, Paris.
Nephrologie. 1994;15(2):151-2.
We describe a case of late perforation of the superior vena cava by a hemodialysis catheter inserted via the left internal jugular vein. This resulted in extravasation of blood. Malposition of the catheter was confirmed by CT scan. Removal of the catheter resulted in rapid resolution of symptoms. Confirmation of correct placement of central venous catheter must be obtained by chest X-ray contrast study.
我们描述了一例经左颈内静脉插入的血液透析导管导致上腔静脉迟发性穿孔的病例。这导致了血液外渗。通过CT扫描证实了导管位置不当。拔除导管后症状迅速缓解。必须通过胸部X线造影检查来确认中心静脉导管的正确放置。
