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经锁骨下静脉导管胃肠外营养期间发生的心包填塞(作者译)

[Cardiac tamponade during parenteral feeding through a subclavian catheter (author's transl)].

作者信息

Lohmöller G, Bauer H, Ruhwinkel B, Kaiser W, Lydtin H

出版信息

MMW Munch Med Wochenschr. 1975 Sep;117(37):1463-8.

PMID:810669
Abstract

Among the complications of the cava catheter, cardiac perforation with subsequent cardiac tamponade is in fact the rarest but also the most serious. A perforation of the right ventricle by a cava catheter left in for 7 days is reported. The cardiac tamponade and the resulting shock syndrome could be eliminated by aspirating the fluid which had infused into the pericardial space. Subsequently, the catheter could be removed without complication. The rare but usually serious complication provides an argument for the critical indication of the cava catheter.

摘要

在腔静脉导管的并发症中,心脏穿孔继发心脏压塞实际上是最罕见但也是最严重的。本文报告了一例腔静脉导管留置7天后导致右心室穿孔的病例。通过抽吸注入心包腔的液体,可消除心脏压塞及由此引发的休克综合征。随后,可顺利拔除导管,未出现并发症。这种罕见但通常严重的并发症为腔静脉导管的严格适应证提供了依据。

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