Central line complications.
Central line complications.
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DOI：
10.4103/2229-5151.164940
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发表时间：
2015-07
影响因子：
--
通讯作者：
Firstenberg MS
中科院分区：
文献类型：
--
作者：
Kornbau C;Lee KC;Hughes GD;Firstenberg MS
中心静脉通路是许多临床环境中针对各种适应症进行的常见手术。中心静脉导管并非没有风险，并且存在与其放置相关的多种并发症。并发症可能会立即出现，也可能会延迟出现，并且根据中心静脉通路的类型而有所不同。与中心静脉通路相关的并发症可能导致显着的发病率和死亡率。这些并发症可能会在费用、住院天数和患者生活质量方面造成巨大的医疗负担。成像、介入技术和医疗设备的进步减少并改变了临床实践中遇到的并发症类型；但大多数并发症仍然集中在血管损伤、感染和错位上。在护理血管通路患者时，识别和处理中心导管并发症很重要，但预防是最终目标。本文讨论与中心静脉通路相关的常见和罕见并发症，以及识别、管理和预防并发症的技术。
Central venous access is a common procedure performed in many clinical settings for a variety of indications. Central lines are not without risk, and there are a multitude of complications that are associated with their placement. Complications can present in an immediate or delayed fashion and vary based on type of central venous access. Significant morbidity and mortality can result from complications related to central venous access. These complications can cause a significant healthcare burden in cost, hospital days, and patient quality of life. Advances in imaging, access technique, and medical devices have reduced and altered the types of complications encountered in clinical practice; but most complications still center around vascular injury, infection, and misplacement. Recognition and management of central line complications is important when caring for patients with vascular access, but prevention is the ultimate goal. This article discusses common and rare complications associated with central venous access, as well as techniques to recognize, manage, and prevent complications.