进入心包:PICC线的潜在灾难性并发症

Y. Lee, L. Miyakawa, M. Bergman, Robert L. Smith
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引用次数: 0

摘要

这是一例罕见的外周插入中心导管(PICC),在术后胸片上被发现位于心包静脉。一名82岁男性因严重脓毒症合并休克入住内科ICU,并放置PICC进行血管加压支持。中心静脉导管的错位可导致灾难性的结果,包括穿孔、心包积液和心包填塞。
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PICCand#8217;ing Your Way into the Pericardium: A Potential Catastrophic Complication of a PICC Line
This is a rare case of a peripherally inserted central catheter (PICC) that was found to be in the pericardiacophrenic vein on a post-procedure chest X-ray. An 82-year-old man was admitted to the medical ICU for severe sepsis with shock and a PICC was placed for vasopressor support. Malpositioning of a central venous catheter can lead to catastrophic results including, perforation, pericardial effusion and tamponade.
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