经颈内静脉植入输液港导管异位同侧锁骨下静脉二例报告  

Heterotopic ipsilateral subclavian vein with infusion port catheter inserted through internal jugular vein:a report of 2 cases

作　　者：张家瑞 李彦昕[1] ZHANG Jia-rui;LI Yan-xin(Department of Breast and Thyroid Surgery,Tongliao City Hospital,Inner Mongolia 028000,China)

机构地区：[1]通辽市医院乳腺甲状腺外科,内蒙古028000

出　　处：《中国临床新医学》2022年第11期1023-1025,共3页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

摘　　要：目的分析经右侧颈内静脉植入胸壁输液港导管异位同侧锁骨下静脉的原因。方法回顾2017年8月至2022年8月该科经颈内静脉入路输液港植入术206例,其中导管尖端异位到同侧锁骨下静脉2例,针对性分析其发生原因及相应处理对策。结果输液港导管不同的植入路径、操作技巧、体位等是导致导管异位发生的主要原因。结论操作前的常规血管检查、术中精细化操作、患者体位配合、所选用穿刺部位、针尖斜面方向、配合术中患者感觉等都是避免穿刺导管异位的方法。Objective To analyze the causes of infusion port catheter inserted through the right internal jugular vein into the heterotopic ipsilateral subclavian vein by mistake in patients with infusion ports implanted in their chest walls.Methods From August 2017 to August 2022,206 cases of infusion port implantation via internal jugular vein approach in the Department of Breast and Thyroid Surgery of Tongliao City Hospital were reviewed,including 2 cases of ectopic catheter tip to ipsilateral subclavian vein.The causes of the occurrence and corresponding management strategies were analyzed.Results The main causes of catheter ectopic placement were different placement paths of catheters in infusion ports,operation skills of the operators and body positions of the patients.Conclusion The routine vascular examination before operation,fine operation during the surgery,patients′body position coordination,puncture site selected,orientation of needle tip slope,and the patients′feelings during the surgery are all methods to avoid ectopic puncture catheter.

关 键 词：颈内静脉 锁骨下静脉 输液港 

分 类 号：R473.73[医药卫生—护理学]