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因留置的右颈内静脉导管占据位置导致右锁骨下静脉导管置入及固定异常——病例报告

Erratic passage and anchorage of a right subclavian catheter caused by preoccupancy of an indwelling right jugular venous catheter--a case report.

作者信息

Yang C Y, Ho S T, Tzou Y W, Lee C G, Cherng C H

机构信息

Department of Anesthesiology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, R.O.C.

出版信息

Acta Anaesthesiol Sin. 1996 Sep;34(3):163-6.

PMID:9084541
Abstract

We report a case of central venous catheter (CVC) malposition. Through subclavian approach the CVC tip was intended to anchor in the superior cava, but it turned out to be in the right internal jugular vein as revealed by chest X-ray. The cause of malposition was perhaps the preoccupancy of the jugular venous CVC which interferred with a normal advancement. Although the malposition of the catheter might not produce any immediate problem, later complication might occur. Thus, removal of a problematic catheter and recatheterization was indicated.

摘要

我们报告一例中心静脉导管(CVC)位置异常的病例。通过锁骨下途径,预期将CVC尖端置于上腔静脉,但胸部X线显示其位于右颈内静脉。位置异常的原因可能是颈静脉CVC的占据妨碍了正常推进。尽管导管位置异常可能不会立即产生任何问题,但后期可能会出现并发症。因此,建议移除有问题的导管并重新置管。

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