中枢静脉线插入的并发症:一个案例系列
Saurav Shrestha1, Rehan Pradhan2, Nikol Guragain3
1'Department of Anaesthesia, Patan Academy of Health Sciences, Lagankhel, Lalitpur, Nepal.
JNMA; journal of the Nepal Medical Association
|March 5, 2026
概括
中枢静脉导管 (CVC) 的放置可能导致罕见但严重的并发症,如动脉瘤和血液瘤. 遵守严格的协议和使用超声指导可以显著降低这些危险的危急病患者.
科学领域:
- 血管外科 血管外科
- 临界护理医学 临界护理医学
- 干预性放射学 干预性放射学
背景情况:
- 中枢静脉导管 (CVC) 插入是重症监护中的常见手术.
- 虽然CVC安置通常是安全的,但存在风险,特别是在没有超声波指导或紧急情况下.
- 不常见的并发症可能会从CVC手术中产生的,影响患者的结果.
研究的目的:
- 报告了中央静脉导管安置后的一系列四种不常见的并发症.
- 强调在CVC插入过程中程序警和成像的重要性.
- 突出严重发病的可能性,如果并发症没有及时管理.
主要方法:
- 一系列病例报告了四种不同的CVC相关并发症.
- 对患者数据和成像发现的审查.
- 诊断确认和管理策略的描述.
主要成果:
- 案例1:右内乳腺动脉动脉瘤后心血管错位.
- 案例2:在内静脉进入后发生的硬骨质体血瘤.
- 案例3:在下腔静脉中保留导线超过一年.
- 案例4:在CVC插入后的关节下动脉伪动脉瘤.
结论:
- 严格的程序协议,操作员意识和实时成像对于CVC安全至关重要.
- 插入后确认成像帮助早期检测并发症.
- 及时识别和管理CVC相关问题对于降低患者发病率至关重要.
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