良好的血管通路是血液透析患者顺利治疗的前提条件之一,但有些患者由于年龄及血管条件限制等因素无法建立自身血管通路,即动静脉内瘘。长期静脉留置导管则可作为血液透析患者常规治疗的首选。但长期留置导管极易发生感染、堵管、脱落等危险~[1]。本中心1例患者颈内静脉长期留置导管发生破裂,严重影响了血液透析的顺利进行,如不能及时发现、及时处理,不 Good vascular access is one of the prerequisites for the successful treatment of hemodialysis patients, but some patients are unable to establish their own vascular access, arterio-venous fistula, due to factors such as age and vascular condition. Long-term intravenous catheterization can be used as a routine treatment of hemodialysis patients preferred. However, long-term indwelling catheter extremely prone to infection, plugging, loss and other dangerous ~ [1]. The center of a patient with long-term indwelling catheter jugular vein rupture, seriously affected the smooth progress of hemodialysis, such as can not be found in time, and timely treatment, not