Trentman T L, Rome J D, Messick J M
Department of Anesthesiology, Mayo Clinic, Rochester, Minnesota 55905, USA.
Reg Anesth. 1996 Mar-Apr;21(2):163-5.
The subclavian vein is often used for placement of central venous catheters, and the possibility exists of nerve injury as a complication of the procedure.
A 58-year-old woman undergoing subclavian central catheter placement sustained a brachial plexus injury. A review of the English-language literature revealed no reports of brachial plexus injury during placement of a subclavian central catheter, although three reports were found in the non-English-language literature.
The anatomic relationship of the subclavian artery, vein, and brachial plexus at the supraclavicular triangle is described, and suggestions are given as to how to avoid this problem.
Brachial plexus injury can occur with placement of subclavian central catheters, but proper technique should minimize this complication.
锁骨下静脉常被用于中心静脉导管的置入，该操作存在并发神经损伤的可能性。
一名58岁女性在进行锁骨下中心静脉导管置入时发生臂丛神经损伤。对英文文献的回顾显示，虽在非英文文献中发现3例相关报道，但尚无锁骨下中心静脉导管置入过程中发生臂丛神经损伤的报道。
描述了锁骨上三角处锁骨下动静脉与臂丛神经的解剖关系，并就如何避免该问题给出了建议。
锁骨下中心静脉导管置入可导致臂丛神经损伤，但采用恰当技术应能将这一并发症的发生降至最低。
