经胸管引流致锁骨下动脉阻塞

Subclavian artery obstruction by tube thoracostomy.

作者信息

Moskal T L, Liscum K R, Mattox K L

机构信息

Cora and Webb Mading Department of Surgery, Baylor College of Medicine, Houston, Texas 77030, USA.

出版信息

J Trauma. 1997 Aug;43(2):368-9. doi: 10.1097/00005373-199708000-00030.

DOI:10.1097/00005373-199708000-00030

PMID:9291391

Abstract

A case of subclavian artery obstruction by tube thoracostomy for penetrating trauma is presented. The obstruction was not physiologically significant; however, it did impede the assessment of the subclavian artery for potential injury using emergency center arteriography. The difficulty was easily corrected with repositioning of the chest tube. This previously undescribed complication of tube thoracostomy is presented with its clinical implications.

摘要

本文报告1例因穿透性创伤行胸腔闭式引流术导致锁骨下动脉梗阻的病例。该梗阻在生理上无显著意义；然而，它确实妨碍了在急诊中心利用动脉造影术评估锁骨下动脉是否存在潜在损伤。通过重新放置胸管，该困难得以轻松解决。本文介绍了这种先前未被描述的胸腔闭式引流术并发症及其临床意义。