通过持续的左上静脉口成功放置胸壁静脉输液口:一个病例报告
Ziqiang Wang1, Rongguo Li, Qiwei Du
1Breast Surgery Department, The First People's Hospital of Xiaoshan District, Xiaoshan Affiliated Hospital of Wenzhou Medical University, Hangzhou, China.
Medicine
|October 28, 2024
概括
持续的左上 vena cava (PLSVC) 是一个罕见的异常. 本案例报告详细介绍了PLSVC患者成功的静脉端口安置,强调了中央静脉导管治疗的安全管理策略.
科学领域:
- 血管外科 血管外科
- 遗传异常是一种先天性异常.
- 医疗器械安置 医疗器械安置
背景情况:
- 持续的左上静脉 (PLSVC) 是一种罕见的先天性静脉异常,影响0.3-0.5%的人口.
- 存在PLSVC使中央静脉导管 (CVC) 的安置复杂化,增加了手术风险.
- 本报告解决了在PLSVC患者中CVC安置的挑战.
研究的目的:
- 描述了在患有PLSVC的患者胸壁静脉输液口的成功安置.
- 为更安全的临床结果提供有关管理类似病例的见解.
- 在有静脉异常的情况下展示CVC插入的有效策略.
主要方法:
- 一名51岁的女性经过乳腺癌手术后需要化疗,接受了静脉端口安置.
- 手术前的成像 (心声学,CT,血管学) 证实了PLSVC.
- 通过左侧内静脉插入胸壁静脉输液口,由于PLSVC进行了导管调整.
主要成果:
- 患者完成了化疗,没有与静脉口相关的并发症.
- 术后成像证实了正确的端口功能和导管放置.
- 没有观察到血栓,感染或其他与港口有关的问题.
结论:
- 术前评估,术后成像和术后随访对于管理PLSVC患者至关重要.
- 在患有PLSVC.的患者中,可以成功地实现静脉端口安置.
- 这一案例强调了为在罕见的静脉异常中插入CVC而量身定制的方法的重要性.
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