Judich A, Haik J, Rosin D, Kuriansky J, Zwas S T, Ayalon A
Department of Surgery B, Sheba Medical Center, Ramat Gan, Tel Hashomer, Israel.
JPEN J Parenter Enteral Nutr. 1998 Jul-Aug;22(4):245-6. doi: 10.1177/0148607198022004245.
Osteomyelitis of the clavicle or the sternoclavicular joint is a rare complication of subclavian vein catheterization. Soft tissue infections around the puncture site occur frequently and respond well to topical and antibiotic treatment. If symptoms persist for several weeks, osteomyelitis or sternoclavicular pyo-arthrosis should be considered. Bone and gallium scintigraphy scans and computerized tomography scans are helpful diagnostic measures.
锁骨或胸锁关节骨髓炎是锁骨下静脉置管的一种罕见并发症。穿刺部位周围的软组织感染很常见,局部用药和抗生素治疗效果良好。如果症状持续数周,则应考虑骨髓炎或胸锁关节脓性关节炎。骨和镓闪烁扫描以及计算机断层扫描是有用的诊断措施。