周围插入到胸膜静脉和中甲状腺静脉的中央导管的异常错位:一个案例系列
Xuemei Li1,2,3, Chang Liu4, Hongxiu Chen5,6
1West China School of Nursing, Sichuan University, Chengdu, Sichuan Province, P.R. China/Department of Emergency Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan Province, P.R. China.
Medicine
|June 23, 2025
概括
确定了两个异常的外围插入中央导管 (PICC) 错位的情况,这些错位发生在左侧胸膜和右侧中部甲状腺静脉中. 延迟诊断凸显了在PICC安置和监测中需要保持警,以防止并发症.
科学领域:
- 血管接入 血管接入
- 医疗成像医学成像
- 干预性放射学 干预性放射学
背景情况:
- 正确的外围插入中心导管 (PICC) 放置对于有效使用和预防并发症至关重要.
- 这份报告详细介绍了两例罕见的PICC错位病例,分别发生在左胸膜静脉和右甲状腺中静脉中.
研究的目的:
- 报告了第一批记录在案的PICC错位病例,这些病例发生在左侧胸膜和右侧中部甲状腺静脉中.
- 强调识别微妙标志的重要性,并确保准确的PICC尖端位置.
主要方法:
- 审查两个病例的微妙的临床迹象的错位最初被忽视在术后放射.
- 通过延迟成像模式确认了诊断.
- 干预措施包括取出导管并将尖端重新定位到上腔静脉.
主要成果:
- 经过延迟的过程,偶然诊断出两个不寻常的PICC错位.
- 在这两种情况下,都需要延迟导管操纵.
- 两位患者都没有经历过明显的导管尖端相关事件,尽管位置不当.
结论:
- 在这些情况下,罕见的PICC错位的延迟诊断发生了.
- 坚持诸如使用前提示验证,实时成像和定期监测等原则至关重要.
- 积极评估和与放射科医生的沟通可以预防罕见的PICC错位及其严重后果.
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