一位患有支气管雷肌肉瘤的儿科患者的中央线导线结正在接受左侧肺切除术:一个病例报告
Suruchi Richhariya1, Sunaina Tejpal Karna1, Pramod Kumar Sharma2
1All India Institute of Medical Sciences Bhopal, Department of Anaesthesiology, Madhya Pradesh, India.
Turkish journal of anaesthesiology and reanimation
|August 11, 2025
概括
在中央静脉线插入过程中发生了一种罕见的并发症:一个儿童形成了导线结.
科学领域:
- 儿科手术 儿科手术
- 麻醉学 麻醉学
- 血管接入程序 血管接入程序
背景情况:
- 中心静脉导管是儿科患者常见的一种手术.
- 可能会出现并发症,特别是在具有解剖学变异的患者中.
- 肺部的乳腺肌肉瘤需要复杂的手术程序,需要中央静脉接入.
研究的目的:
- 在中央静脉线插入过程中报告异常的手术内并发症.
- 突出儿童中枢静脉导管治疗期间警和准备的重要性.
- 讨论导线相关并发症的潜在预防措施和管理策略.
主要方法:
- 一个儿科患者接受左侧肺切除术的病例报告.
- 超声导向的中央静脉线插入左侧内静脉.
- 使用光镜和静脉切除术进行导线结的手术内识别和管理.
主要成果:
- 在中央静脉导管推进过程中发生了意想不到的导线结.
- 该结通过光学成功识别,并通过立即的静脉切割切除.
- 患者在术后经历了无事件的肺部隔离和气管外抽术.
结论:
- 导线结结是儿科中央静脉导管注射中的罕见但显著的并发症.
- 超声指导和仔细的导线操纵对于预防至关重要.
- 及时识别和手术干预对于管理这种手术内事件至关重要.
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