중심정맥관 삽입후 발생한 종격동염-1례 보고

Title
중심정맥관 삽입후 발생한 종격동염-1례 보고
Other Titles
Mediastinitis after Central Venous Catheterization
Authors
금동윤박남희이기태
Keimyung Author(s)
금동윤; 박남희
Department
Dept. of Thoracic & Cardiovascular Surgery (흉부외과학)
Keywords
Mediastinitis; Catheterization.
Issue Date
2005
Publisher
School of Medicine
Citation
결핵 및 호흡기 질환, Vol.58(1) : 64-67, 2005
Abstract
We report here on an uncommon case of mediastinitis that occurred after central venous catheterization. A patient with colon and jejunal cancer complained high fever, right shoulder pain, chest pain, and limited motion of the affected shoulder just 6 days after central venous catheterization. Bacterial culture of the blood, shoulder abscess, and catheter puncture site revealed methicillin-resistent staphylococcus aureus. Right upper mediastinal widening on chest film also suggested mediatinitis. Mediastiotomy and pus drainage was performed along with adequate antibiotics therapy. In this case, it seems that initially formed bacteria from the puncture site migrated to the mediastinum through the tissue plane to start the mediastinitis. Careful dressing of puncture site and correct handling of catheter is important to prevent this serious complication.
중심정맥관 삽입술 시행후 6일이 경과한 65세 여자 환자로 고열과 우측 견갑통 및 흉통, 호흡곤란을 호소 하여 단순 흉부사진상 상종격동의 확장소견, 중심정 맥관 삽입부 및 견갑부 농양, 혈액 배양검사상 메티실 린 저항성 포도상구균이 검출되어 중심정맥관에 의해 드물게 발생할 수 있는 종격동염으로 진단후 종격동 절개를 통한 배농, 적절한 항생제 사용 등으로 환자는 회복되었다.
URI
https://synapse.koreamed.org/Synapse/Data/PDFData/0003TRD/trd-58-64.pdfhttp://kumel.medlib.dsmc.or.kr/handle/2015.oak/22327
ISSN
1738-3536
Appears in Collections:
1. 연구논문 > 1. School of Medicine (의과대학) > Dept. of Thoracic & Cardiovascular Surgery (흉부외과학)
Files in This Item:
비공개 원문입니다.
Export
RIS (EndNote)
XLS (Excel)
XML


qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

BROWSE