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題 名 | Pneumothorax after Central Venous Cannulation via the Infraclavicular Axillary Vein--A Case Report=鎖骨下腋靜脈置入中央靜脈導管引發氣胸--病例報告 |
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作 者 | 吳育政; 陳昭良; 林怡里; 鍾雍泰; | 書刊名 | 麻醉學雜誌 |
卷 期 | 43:2 民94.06 |
頁 次 | 頁105-108 |
分類號 | 416.5 |
關鍵詞 | 氣胸; 中心靜脈導管置放術; Pneumothorax; Catheterization, central venous; |
語 文 | 英文(English) |
中文摘要 | 以前文獻沒有鎖骨下腋靜脈置入中央靜脈導管引發氣胸的報告。本院在數月前,發生一位接受腦瘤切除手術的66歲婦女,因鎖骨下腋靜脈置入中央靜脈導管引發氣胸併發症。這件併發症並沒有立即被查覺,直至術後的胸部X光才給予確定診斷。我們以相關的解剖構造來探討它可能的發生原因;並就如何預防氣胸,提出以前相關文獻沒有提到的觀點。 |
英文摘要 | It has ever been reported that central venous cannulation via the infraclavicular axillary vein (IAV) could cause pneumothorax. However; recently at our hospital, a 66-year-old female patient undergoing craniectomy for brain tumor sustained pneumothorax after cannulation of the IAV for intraoperate monitoring. The complication was not recognized until a postoperative chest X-ray had been taken. The departmental panel on morbidity reviewed the anatomy of the infraclavicular area to explore the possible causes of the incident. As to prevention of pneumothorax, we also bring forward some important points for discussion that have not been discoursed in previous reports. |
本系統中英文摘要資訊取自各篇刊載內容。