罕见的延迟穿孔的中央静脉导管在持续的左上静脉卡瓦:一个案例报告
1Department of Ultrasound Ningbo No. 2 Hospital Ningbo Zhejiang People's Republic of China.
Clinical case reports
|October 20, 2025
概括
实时超声波有助于中央静脉导管的放置,减少直接的风险. 然而,术后成像对于检测延迟并发症 (如血管穿孔) 仍然至关重要.
科学领域:
- 血管外科 血管外科
- 医疗成像医学成像
- 干预性放射学 干预性放射学
背景情况:
- 中枢静脉导管 (CVC) 的安置是常见的,但存在风险.
- 血管异常,如孤立的持续的左上 vena cava (IPLSVC),可以复杂的CVC程序.
- 虽然实时超声波指导可以最大限度地降低即时的程序风险,但它不能防止延迟的并发症.
研究的目的:
- 强调CVC安置后手术后成像的重要性.
- 突出实时超声波在预防延迟并发症方面的局限性.
- 要强调成像在验证CVC尖端位置和管理潜在问题的关键作用.
主要方法:
- 在患有血管异常的患者中审查CVC安置程序.
- 分析与CVC插入相关的即时与延迟并发症.
- 评估实时超声波指导和术后成像的实用性.
主要成果:
- 实时超声波指导有效地减少了CVC放置期间的直接风险.
- 延迟血管穿孔仍然是一个潜在的并发症,尽管超声指导.
- 术后成像对于确认导管尖位置和识别延迟问题至关重要.
结论:
- 术后成像对于缓解CVC安置后延迟并发症至关重要.
- 通过成像来验证导管尖位置对于患者的安全至关重要.
- 对于接受CVC安置的血管异常患者,需要进行全面的监测,包括成像.
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