Walden F M
Department of Anaesthesiology, Royal Brisbane Hospital, Australia.
Br J Anaesth. 1997 Dec;79(6):807-9. doi: 10.1093/bja/79.6.807.
The use of central venous catheters is associated with many different complications, some of which can be life threatening. Most complications associated with the use of central venous catheters are either immediate and occur around the time of catheter insertion, or are delayed and are related to the duration of catheter use. Complications occurring after removal of central venous catheters are reported infrequently but are still a cause of significant morbidity. The following case report illustrates a serious complication which occurred after a large gauge central venous catheter was removed from a patient and demonstrates the importance of close observation not only at the time of catheter placement but also when such devices are removed.
中心静脉导管的使用与许多不同的并发症相关，其中一些可能危及生命。与中心静脉导管使用相关的大多数并发症要么是即时性的，发生在导管插入时左右，要么是延迟性的，与导管使用时间有关。中心静脉导管拔除后发生的并发症报道较少，但仍是严重发病的一个原因。以下病例报告说明了一例在大口径中心静脉导管从患者身上拔除后发生的严重并发症，并证明了不仅在导管置入时而且在拔除此类装置时密切观察的重要性。
