Life-threatening hemothorax resulting from right brachiocephalic vein perforation during right internal jugular vein catheterization
Life-threatening hemothorax resulting from right brachiocephalic vein perforation during right internal jugular vein catheterization
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DOI：
10.1007/s00540-008-0696-1
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发表时间：
2009-02-01
影响因子：
2.8
通讯作者：
Koitabashi, Toshiya
中科院分区：
文献类型：
--
作者：
Innami, Yasushi;Oyaizu, Tomoko;Koitabashi, Toshiya
我们介绍一例右颈内静脉插管期间右头臂静脉穿孔导致血胸危及生命的病例。我们认为导丝在管腔外刺穿了右头臂静脉，并且在导丝上插入的导管扩大了穿孔的尺寸。尽管使用了正确的技术，尖头导丝仍可能刺穿静脉壁。因此，当中心静脉导管术后出现抽吸阴性时，手术前进行紧急胸片检查非常重要；同样重要的是不要使用尖头导丝。
We present a life-threatening case of hemothorax resulting from right brachiocephalic vein perforation during right internal jugular vein catheterization. We considered that the guidewire had punctured the right brachiocephalic vein extraluminally and the catheter inserted over the guidewire had enlarged the size of the perforation. Despite the use of proper technique, an angle-tip guidewire may perforate the venous wall. Therefore, when there is negative aspiration after central venous catheterization, it is important to perform an emergency chest radiograph before proceeding with surgery; it is also important not to use an angle-tip guidewire.