Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Pleural Effusion after Malposition of Central Venous Catheter

중심정맥카테터 삽입의 이상위치로 발생한 편측성 흉수 1례

  • Kim, Jae Seok (Department of Internal Medicine, Yonsei University Wonju College of Medicine) ;
  • Kim, Sang-Ha (Department of Internal Medicine, Yonsei University Wonju College of Medicine) ;
  • Lee, Nak Won (Department of Internal Medicine, Yonsei University Wonju College of Medicine) ;
  • Kwon, Woo Cheol (Department of Radiology, Yonsei University Wonju College of Medicine) ;
  • Choi, Hun (Department of Internal Medicine, Yonsei University Wonju College of Medicine) ;
  • Beon, Jong Won (Department of Internal Medicine, Yonsei University Wonju College of Medicine) ;
  • Hong, Tae Won (Department of Internal Medicine, Yonsei University Wonju College of Medicine) ;
  • Shin, Kye Chul (Department of Internal Medicine, Yonsei University Wonju College of Medicine) ;
  • Yong, Suk Joong (Department of Internal Medicine, Yonsei University Wonju College of Medicine)
  • 김재석 (연세대학교 원주의과대학 내과학교실) ;
  • 김상하 (연세대학교 원주의과대학 내과학교실) ;
  • 이낙원 (연세대학교 원주의과대학 내과학교실) ;
  • 권우철 (연세대학교 원주의과대학 진단방사선과학교실) ;
  • 최훈 (연세대학교 원주의과대학 내과학교실) ;
  • 변종원 (연세대학교 원주의과대학 내과학교실) ;
  • 홍태원 (연세대학교 원주의과대학 내과학교실) ;
  • 신계철 (연세대학교 원주의과대학 내과학교실) ;
  • 용석중 (연세대학교 원주의과대학 내과학교실)
  • Received : 2005.09.07
  • Accepted : 2006.06.01
  • Published : 2006.06.30
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Abstract

Central venous catheterization is used to provide a large amount of fluid, total parenteral nutrition and to administer antitumor agents with few complications reported. We report an uncommon case of pleural effusion that occurred after central venous catheterization. In many cases, the mechanism for the pleural effusion after central venous catheterization occurs through an injury to the superior vena cava by the continuous mechanical force of the catheter tip, the flow of large amount of fluid and an osmotic injury to the wall of the vein. This case is somewhat different in that the central catheter was placed in an aberrant vessel resulting in the pleural effusion. A post-placement chest roentgenogram and the correct approach of catheterization are important for preventing this complication.

중심정맥카테터 삽입 후 생길 수 있는 드문 합병증 중에 하나인 흉수 발생은 카테터와 관련된 혈관벽의 손상을 흉수 발생의 기전으로 설명하고 있다. 저자들은 우측 쇄골하정맥으로 이어지는 이상혈관 내로 카테터가 위치한 후 혈관 파열로 인하여 발생한 흉수 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Keywords

References

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