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Mycotic Pseudoaneurysm of the Radial Artery Occurring after Percutaneous Arterial Cannulation-A Case Report

施打周邊動脈導管併發罕見病菌性偽動脈瘤-病例報告

摘要


周邊動脈導管插入是呼吸加護病房最常用來血壓偵測及動脈血氣體分析的一種侵入性處置。常見的併發症包括血管的傷害、出血、以及感染。感染性偽動脈瘤是屬於罕見的感染性血管損傷,通常與金黃色葡萄球菌感染有關。其處理要點在病人有危險因子及可疑症狀時須高度的懷疑,同時及早採取適當之治療措施。在此我們提出一例因外科手術而住入呼吸加護病房,住院期間因周邊動脈導管感染而併發病菌偽動脈瘤的例子。

並列摘要


The indwelling percutaneous radial artery catheter is used worldwide especially during major operations or with critical patients in the intensive care units. Complications that occur following radial artery puncture for continuous blood pressure monitoring and frequent arterial blood gas determinations include vascular insufficiency, bleeding, and infection. Most of these complications can be managed conservatively, without deficit. We report a rare complication, a mycotic pseudoaneurysm, occurring after arterial catheterization, which necessitated radial arterial ligation and skin grafting.

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