数字减影血管造影术在治疗中心静脉置管致医源性血管损伤中的临床应用  

Clinical application of digital subtraction angiography in treatment of iatrogenic vascular injury caused by central venous catheterization

作　　者：陈蓁臻 陈穴 文雪刚 崔安明 汪先忠 张宏斌 Chen Zhenzhen;Chen Xue;Wen Xuegang;Cui Anming;Wang Xianzhong;Zhang Hongbin(Department of Hepatobiliary and Vascular of Zhongxian People's Hospital,Chongqing 404399,China;Radiology Department of Zhongxian People's Hospital,Chongqing 404399,China;Critical Care Department of Zhongxian People's Hospital,Chongqing 404399,China;Medical Department of Zhongxian People's Hospital,Chongqing 404399,China)

机构地区：[1]忠县人民医院肝胆血管外科,重庆404399 [2]忠县人民医院放射介入科,重庆404399 [3]忠县人民医院重症医学科,重庆404399 [4]忠县人民医院医务科,重庆404399

出　　处：《中华消化外科杂志》2024年第9期1227-1230,共4页Chinese Journal of Digestive Surgery

摘　　要：中心静脉置管在抢救危重症患者中具有重要作用。临床上常用于置管的中心静脉包括锁骨下静脉、颈内静脉、股静脉,置管后严重并发症可危及患者生命。在临床工作中提高对中心静脉置管严重并发症的认识和处理十分必要。笔者总结1例行右侧股静脉穿刺置管术致髂静脉夹层,导管远端穿破血管壁达腹膜后,在数字减影血管造影术直视下成功拔除导管的病例,为中心静脉置管致医源性损伤的治疗提供参考。Central venous catheterization plays an important role in the rescue of critically patients.Commonly used central veins in clinical practice include subclavian vein,internal jugular vein,and femoral vein.Serious complications after catheterization can endanger patients'lives in severe cases.It is necessary to improve the understanding and treatment of serious complications of central vein catheterization in clinical work.A case of iliac vein dissection caused by right femoral vein catheterization was summarized in this article,and the catheter was successfully removed under digital subtraction angiography direct vision after the distal end of the catheter penetrated the vascular wall and reached the peritonea,which provided reference for the treatment of iatrogenic injury caused by central vein catheterization.

关 键 词：中心静脉置管 并发症 静脉夹层 医源性血管损伤 数字减影血管造影术 

分 类 号：R654.3[医药卫生—外科学]