中心静脉导管拔除后发生血胸1例

Jony Dib, Rim Boutari, Boshra Yaacoub, Nayef Al Khalil, Mohamad Al Ayoubi, Othman Itani
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引用次数: 0

摘要

背景:中心静脉置管术在重症监护病房中被频繁使用。该手术有各种并发症,从插入过程中的机械并发症、血管撕裂和剥离的可能性到感染,更不要忘记可能需要插入胸管的血胸和气胸。然而,一些并发症也可能源于其切除。病例报告:这是一例72岁的患者,患有多种合并症,因呼吸窘迫住进重症监护室(ICU)。由于难以建立外周静脉导管,我们插入了一条中心静脉导管,由于导管拔除,他出现了大量右侧血胸。结论:中心静脉切除可引起大量血胸等致命并发症,应引起重视。我们强调对导管拔除后患者的监测,因为这种并发症的不寻常性质可能导致诊断延误甚至误诊。
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Hemothorax Occurring After Central Venous Catheter Removal: A Case Report
Background:  Central venous catheterizations are used frequently in critical care unit. The procedure is associated with various complications ranging from mechanical ones during insertion and the possibility of vessel laceration and dissection to infections, not to forget haemothorax and pneumothorax that may require chest tube insertion. However, some complications may also origin from its removal. Case Report: This is a case of a 72-year-old patient with multiple comorbidities admitted to the Intensive Care Unit (ICU) for respiratory distress. A central line was inserted because a peripheral line was hard to establish, and as a consequence of catheter removal, he had a massive right-sided hemothorax. Conclusion: Central venous line removal could cause fatal complications such as massive hemothorax that should be looked for. We emphasize monitoring of patients after catheter removal because the uncommon nature of this complication can lead to diagnosis delay and even misdiagnosis.
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