[中心静脉管路的核心:并发症与解决方案之间]。

Revue medicale de Liege Pub Date : 2024-10-01
Alexandre Karoui, Xavier Bertrand
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引用次数: 0

摘要

在急诊科、重症监护室和手术室等各种医院环境中,置入中心静脉导管是一项常见的程序。这些导管对于监测血液动力学变量、注射血管活性胺和提供营养支持至关重要,而这些关键功能是外周导管无法实现的。然而,这种侵入性手术的并发症发生率很高,超过 15%,有时可能很严重,甚至致命。本文将介绍一名 34 岁患者的病例,该患者在右颈静脉置入中心静脉管后出现了机械性并发症。我们将讨论中心静脉置管特有的各种并发症以及降低风险的可行解决方案。
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[At the heart of central venous lines : between complications and solutions].

The placement of central venous catheters is a common procedure in various hospital settings, such as emergency departments, intensive care units, and operating rooms. These catheters are essential for monitoring hemodynamic variables, administering vasoactive amines, and providing nutritional support, crucial functions that cannot be performed by peripheral catheters. However, this invasive procedure is associated with a significant complication rate, exceeding 15 %, which may be sometimes severe, even fatal. In this article, we will present the case of a 34-year-old patient who experienced a mechanical complication following the placement of a central venous line in the right jugular vein. We will discuss the various complications specific to central lines and possible solutions to reduce the risk.

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