| 中心静脉导管前端移位致双侧胸腔积液的临床救治 |
| 投稿时间：2010-11-10 点此下载全文 |
| 引用本文：郑国栋,戴建强,古正涛,尹庆水.中心静脉导管前端移位致双侧胸腔积液的临床救治[J].医学研究杂志,2011,40(6):122-124 |
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| 中文摘要:目的报道2例中心静脉导管前端移位致双侧胸腔积液的临床救治。方法2例患者因中心静脉导管前端移位出现双侧胸腔积液后，予拔除深静脉导管、胸腔闭式引流、输血、补液及抗生素等对症治疗。结果患者经积极对症治疗后，病情迅速好转，痊愈出院。结论对于年龄大、血管解剖异常、颈内置管后颈部活动频繁、医从性差等患者应加强置管后的监护；对病重、烦躁不安、神志模糊的患者，要专人看护，必要时予以肢体制动；发现异常症状应及时进行相关检查，并采取有效措施。 |
| 中文关键词:中心静脉导管 胸腔积液 治疗 |
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| The Clinical Treatment on Bilateral Pleural Effusion Caused by Central Venous Catheter Tip Displacement |
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| Abstract:ObjectiveTo report two cases of the clinical treatment on bilateral pleural effusion caused by central venous catheter tip displacement. MethodsTwo cases of bilateral pleural effusion due to central venous catheter tip displacement was treated with the removal of deep venous catheters, thoracic cavity closed drainage, blood transfusions, rehydration and antibiotics and other symptomatic treatment. ResultsAfter active treatment, the condition of two patients quickly improved and discharged. ConclusionWe should strengthen the monitoring for the patients who were older,were with abnormal vascular anatomy,move actively,and were not submitting to doctors.It is necessary to nurse by special messenger for the patients of serious illness,dysphoria and vague consciousness,even limb immobilization.Doctors should promptly carry out the relevant checks, and take effective measures as soon as finding the abnormal symptoms. |
| keywords:Central venous catheters Pleural effusion Reatment |
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