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患儿男性,年龄2岁4个月,体重12kg,在全麻及体外循环下行室间隔缺损修补术。术前行右侧颈内静脉高位外侧入路穿刺置管,经过顺利。术中用于监测中心静脉压,术毕保留颈内静脉导管回监护病房。术后72h患儿哭闹躁动过程中致使颈内静脉留置导管自其固定缝线处割断,远端进入静脉,无法拔除。立即肌注安定2mg,患儿镇静入睡。沿静脉走向未摸及导管残端,急行彩色超声多普勒扫描示导管残端(长约5cm)尚残留于右颈内静脉内,急诊入手术室在全麻下行右颈内静脉切开顺利将其取出。术后患儿生命体征维持稳定,10d后康复出院。
Male patients, aged 2 years and 4 months, weighing 12kg, under general anesthesia and cardiopulmonary bypass repair ventricular septal defect. Preoperative right jugular vein lateral access puncture tube, after a smooth. Intraoperative monitoring of central venous pressure, surgery to retain the jugular vein catheterization care unit. 72h after the onset of cries in children with agitation caused by jugular vein indwelling catheter from its fixed suture at the cut, the distal into the vein, can not be removed. Immediate intramuscular stability 2mg, children calm and fall asleep. Along the vein to the untouched and catheter stump, urgent line color Doppler ultrasound showed catheter stump (about 5cm) remained in the right internal jugular vein, emergency operation room under general anesthesia underwent right internal jugular vein incision smoothly Remove it. The vital signs of children remained stable after 10 days, and were discharged after 10 days.