Whitteveen A G, Wirds J W, Beek A M, Boon E S, van der Spoel J I
Afd. Intensive Care Heelkunde, Academisch Ziekenhuis Vrije Universiteit, Amsterdam.
Ned Tijdschr Geneeskd. 1997 Nov 15;141(46):2249-51.
A 57-year-old female patient initially admitted with acute pancreatitis became extremely hypotensive, with increased central venous pressure, a few hours after insertion of a central venous catheter into the right subclavian vein. Echocardiography revealed a large amount of pericardial fluid, which was removed by pericardiocentesis. A cardiac tamponade as a result of central venous cannulation is a rare but serious complication with a high mortality rate. The tamponade may be the result of perforation of the V. cava superior, the right atrium or the right ventricle (as in the patient described). Cardiac tamponade should be suspected in any patient with severe hemodynamic problems after insertion of a central venous line.
一名57岁女性患者最初因急性胰腺炎入院，在右锁骨下静脉插入中心静脉导管数小时后，出现极度低血压，中心静脉压升高。超声心动图显示大量心包积液，通过心包穿刺引流。中心静脉置管导致的心包填塞是一种罕见但严重的并发症，死亡率很高。心包填塞可能是上腔静脉、右心房或右心室穿孔所致（如本例患者）。对于任何在插入中心静脉导管后出现严重血流动力学问题的患者，均应怀疑有心包填塞。
