Garcia E, Granier I, Geissler A, Boespflug M D, Magnan P E, Durand-Gasselin J
Service de Réanimation, Centre Hospitalier Intercommunal Toulon-La Seyne sur Mer Font-Pré, France.
Intensive Care Med. 1997 Sep;23(9):1002-4. doi: 10.1007/s001340050446.
Septic deep venous thrombosis is a major complication associated with central venous catheterization in intensive care units. The most common causative organisms are Staphylococcus aureus, gram-negative bacilli and Candida species. The incidence of Candida infections is increasing, especially in intensive care patients receiving total parenteral nutrition and long-term broad-spectrum antibiotics. Although intravascular catheter-induced septic thrombophlebitis is quite common, superior vena cava obstruction is a rare complication. However, few data exist concerning the best strategy for managing septic thrombophlebitis, especially when medical therapy fails. We report successful surgical management of Candida albicans suppurative thrombosis of the superior vena cava in a young patient.
脓毒性深静脉血栓形成是重症监护病房中与中心静脉置管相关的主要并发症。最常见的致病微生物是金黄色葡萄球菌、革兰氏阴性杆菌和念珠菌属。念珠菌感染的发生率正在上升，尤其是在接受全胃肠外营养和长期使用广谱抗生素的重症监护患者中。尽管血管内导管引起的脓毒性血栓性静脉炎相当常见，但上腔静脉阻塞是一种罕见的并发症。然而，关于脓毒性血栓性静脉炎的最佳治疗策略的数据很少，尤其是在药物治疗失败时。我们报告了一名年轻患者白色念珠菌性化脓性上腔静脉血栓形成的成功手术治疗。
