陈汝满 白亚飞 李洪

    【摘要】血液透析中心静脉导管插管导致静脉损伤继发局部血肿是常见并发症，但围插管期无症状、插管后数月出现气管压迫、危及生命的活动性出血少见。该文报道一例45岁男性患者，因右侧颈内静脉置管后4个月出现右侧无名静脉严重活动性出血、纵隔血肿压迫气管，经过控制血压、减少容量负荷、关闭同侧内瘘后出血停止、最后血肿吸收。该例提示应重视深静脉置管穿刺损伤引发纵隔血肿的可能性，尤其在穿刺不顺利时应当立即行胸片、CT或超声检查，以减少漏诊和误诊。

    【关键词】血液透析导管;插管;无名静脉;活动性出血;纵隔血肿

    prolonged active hemorrhage after right innominate vein injury patient with hemodialysis： a case report Chen Ruman，Bai Yafei，Li Hong. Department of blood purification， Hainan General hospital(Hainan Affiliated Hospital of Hainan Medical University)， Haikou 570311， China

    Corresponding author， Li Hong， E-mail： hpph01@163.com

    【Abstract】Local hematoma is a common complication secondary to central venous catheter intubation during hemodialysis.? However ......