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Delayed Airway Obstruction Secondary to Inadvertent Arterial Puncture during Percutaneous Central Venous Cannulation

經皮置放中央靜脈導管因穿刺頸動脈誘發延遲性氣道阻塞-病例報告

摘要


我們報告一個病例因爲在經皮置放中央靜脈導管時,不慎穿刺頸動脈,穿刺後14小時慢慢誘發嚴重上呼吸道阻塞導致最後呼吸停止,嚴重發紺,經急救無效而宣告死亡,但真正血管破裂實質情形仍無法理解。

並列摘要


We report a case of fatal respiratory complication secondary to central venous cannulation in a 63-year-old male patient, which came up gradually and insidiously following an accidental puncture of carotid artery in an attempt to cannulate the right internal jugular vein. He died 14 h after the mishap due to severe upper airway obstruction. The nature of the vascular laceration was still obscure.

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