經皮置放中央靜脈導管因穿刺頸動脈誘發延遲性氣道阻塞－－病例報告

Delayed Airway Obstruction Secondary to Inadvertent Arterial Puncture during Percutaneous Central Venous Cannulation

我們報告一個病例因為在經皮置放中央靜脈導管時，不慎穿刺頸動脈，穿刺後14小時慢慢誘發嚴重上呼吸道阻塞導致最後呼吸停止，嚴重發紺，經急救無效而宣告死亡，但真正血管破裂實質情形仍無法理解。

We report a case of fatal respiratory complication secondary to central venous cannulation in a 63-year-old male patient, which came up gradually and insidiously following an accidental puncture of carotid artery in an attempt to cannulate the right internal jugular vein. He died 14 h after the mishap due to severe upper airway obstruction. The nature of the vascular laceration was still obscure.