在患有朱伯特综合征的患者中,在中央线插入过程中发现了持续的左上静脉腔:一个病例报告
Mohammed Ismail Mohammed Heyba1, Mohamed Rabie Mohamed Ali Gadelrab2, Waleed Al-Araby Ahmed2
1Kuwaiti Board of Anesthesia, Kuwait City, Kuwait. fantastic5.ar@gmail.com.
持续的左上 vena cava (PLSVC) 是一个常见的胸腔静脉异常. 对PLSVC的认识对于安全的中央线插入至关重要,特别是在需要侵入性干预的朱伯特综合征患者中.
科学领域:
- 心脏病学 心脏病学
- 儿科 儿科 儿科
- 医疗成像医学成像
背景情况:
- 持续的左上 vena cava (PLSVC) 是最常见的胸腔静脉异常,通常是无症状的.
- PLSVC可以使中央线插入复杂化,导致心律失常和血栓塞栓事件.
- 朱伯特综合征是一种罕见的遗传疾病,涉及多个器官,包括脏,肝脏和神经系统.
研究的目的:
- 报告一个患有朱伯特综合征和PLSVC的患者中枢线插入病例.
- 强调在需要侵入性手术的患者中识别PLSVC的重要性.
主要方法:
- 一名12岁的男性患有朱伯特综合征,脏和肝功能衰竭,通过左侧内静脉进行了中央线插入.
- 插入后的胸部X射线和心声扫描证实了在PLSVC中的导管放置.
- 导管被用于18天的全腹腔营养和复苏,没有并发症.
主要成果:
- 在患有PLSVC和朱伯特综合征的患者中成功放置和利用中央线路.
- 心声扫描证实了导管的位置在持续的左上静脉内.
- 在使用中央线18天期间没有观察到任何并发症.
结论:
- 临床医生必须了解PLSVC,以防止静脉接入过程中的并发症.
- 识别PLSVC可以避免不必要的导管更换.
- 这对于患有朱伯特综合征的患者尤其重要,因为他们经常需要进行侵入性干预.
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