右颈内静脉置管致动静脉瘘穿透升主动脉1例。

Fanwei Meng, Zhi-Ping Liu, Jian Wang
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引用次数: 0

摘要

颈内静脉放置在临床实践中经常用于快速输液,术中监测,腹膜透析和干预措施的获取。此外,该过程可能导致血肿、感染、动脉误导、气胸和动静脉瘘等并发症。本病例采用颈内静脉置管时,透析导管经右颈内静脉进入锁骨下动脉,再经头干进入升主动脉,最后手术取出异位导管,所有血管破裂均得到有效修复。患者在手术过程中生命体征稳定,于术后第7天出院。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Case Report of Arteriovenous Fistula Penetrating into the Ascending Aorta Due to Right Internal Jugular Vein Placement.

Internal jugular vein placement is frequently utilized in clinical practice for rapid infusion, intraoperative monitoring, peritoneal dialysis, and access for interventions. Additionally, the process may lead to complications like hematoma, infection, misdirection of the artery, pneumothorax, and arteriovenous fistula. In the case described in this report, all vascular ruptures effectively were repaired because when internal jugular vein placement was adopted, a dialysis catheter would go through the right internal jugular vein into the subclavian artery, then the ascending aorta via the cephalic trunk, and finally the ectopic catheter would be surgically removed. The patient was released from the hospital on the seventh postoperative day after maintaining stable vital signs throughout the procedure.

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