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[锁骨下静脉置管期间导丝的复杂性血管外脱位]

[Complex extravascular dislocation of a guidewire during catheterization of the subclavian vein].

作者信息

Delogu G, Cerroni A, Iannarone C, Costantino D

机构信息

Istituto di Anestesiologia e Rianimazione, Università degli Studi di Roma La Sapienza.

出版信息

Ann Ital Chir. 1996 Jan-Feb;67(1):85-7.

PMID:8712623
Abstract

A case is presented in which a guidewire, during subclavian catheterization in a 63 years old patient, became knotted outside the vein, behind the clavear head of the sternocleidomastoid muscle. The wire was easily removed by surgical approach and the post operative course was uneventful. The causes of this complication are discussed and a few main points are emphasized when the Seldinger technique is employed for subclavian vein catheterization.

摘要

本文报告一例63岁患者在锁骨下静脉置管过程中导丝在静脉外、胸锁乳突肌锁骨头后方打结的病例。通过手术方法轻松取出导丝,术后过程顺利。讨论了该并发症的原因,并强调了在采用Seldinger技术进行锁骨下静脉置管时的几个要点。

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