颈内静脉穿刺置管术导致罕见并发症2例分析
摘要
<正>中心静脉穿刺置管在临床应用广泛,用于大量快速静脉补液、中心静脉压监测、血液透析、心血管介入治疗通路等。美国每年深静脉置管例数超过700万例~([1-2])。据相关文献报道,深静脉穿刺导致严重并发症的概率为0.4%~9.9%~([3])。其中并发症包括局部血肿、气胸、血胸、胸腔积液、中心静脉血栓形成、空气栓塞、上腔静脉或右心穿孔等,其中误穿动脉的发生率约占中心静脉穿刺置管的5%~([4])。解放军福州总医院普通外科在进行深静脉穿刺时出
引文
[1]Dexheimer Neto FL,Teixeira C,Oliveira RP.Ultrasoundguided central venous catheterization:what is the evidence[J].Rev Bras Ter Intensiva,2011,23(2):217-221.
[2]OncüS,Ozsüt H,Yildirim A,et al.Central venous catheter related infections:risk factors and the effect of glycopeptides antibiotics[J].Ann Clin Microbiol Antimicrob,2003,2(1):3.
[3]Borja AR,Masri Z,Shruck L,et al.Unusualand lethal complications of infraclavicular subclavian vein catheterization[J].Int Surg,1972,57(1):42–45.
[4]张强华,周钢,张国艳.颈内静脉和锁骨下静脉穿刺入路的解剖学特点及临床应用[J].局解手术学杂志,2017,26(1):48-51.
[5]Iovino F,Pittiruti M,Buononato M,et al.Central venous catheterization:complications of different placements[J].Ann Chir,2001,126(10):1001–1006.
[6]Shah PM,Babu SC,Goyal A,et al.Arterial misplacement of large-caliber cannulas during jugular vein catheterization:case for surgical management[J].J Am Coll Surg,2004,198(6):939–944.
[7]Janneth Momiy,Jay Vasquez.Iatrogenic vertebral artery pseudoaneurysm due to central venous catheterization[J].Proc(Bayl Univ Med Cent),2011,24(2):96–100.
[8]Vinchon M,Laurian C,George B,et al.Vertebral arteriovenous fi stulas:a study of 49 cases and review of the literature[J].Cardiovasc Surg,1994,2(3):359–369.
[9]蒋逸风,陆传新,沈彬,等.深静脉穿刺置管并发症的分析[J].海军医学杂志,2009,30(2):110-112.
[10]卿洪琨,张小明,蒋京军,等.血管闭合器简介[J].介入放射学杂志,2015,6(24):548-552.
[2]OncüS,Ozsüt H,Yildirim A,et al.Central venous catheter related infections:risk factors and the effect of glycopeptides antibiotics[J].Ann Clin Microbiol Antimicrob,2003,2(1):3.
[3]Borja AR,Masri Z,Shruck L,et al.Unusualand lethal complications of infraclavicular subclavian vein catheterization[J].Int Surg,1972,57(1):42–45.
[4]张强华,周钢,张国艳.颈内静脉和锁骨下静脉穿刺入路的解剖学特点及临床应用[J].局解手术学杂志,2017,26(1):48-51.
[5]Iovino F,Pittiruti M,Buononato M,et al.Central venous catheterization:complications of different placements[J].Ann Chir,2001,126(10):1001–1006.
[6]Shah PM,Babu SC,Goyal A,et al.Arterial misplacement of large-caliber cannulas during jugular vein catheterization:case for surgical management[J].J Am Coll Surg,2004,198(6):939–944.
[7]Janneth Momiy,Jay Vasquez.Iatrogenic vertebral artery pseudoaneurysm due to central venous catheterization[J].Proc(Bayl Univ Med Cent),2011,24(2):96–100.
[8]Vinchon M,Laurian C,George B,et al.Vertebral arteriovenous fi stulas:a study of 49 cases and review of the literature[J].Cardiovasc Surg,1994,2(3):359–369.
[9]蒋逸风,陆传新,沈彬,等.深静脉穿刺置管并发症的分析[J].海军医学杂志,2009,30(2):110-112.
[10]卿洪琨,张小明,蒋京军,等.血管闭合器简介[J].介入放射学杂志,2015,6(24):548-552.