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Chylothorax nach Anlage eines zentralvenösen Katheters

Überlegungen zu Anatomie, Differentialdiagnose und Therapie

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Zusammenfassung

Die Autoren berichten über einen Chylothorax: eine seltene, wenngleich auch klassische Komplikation nach Anlage eines zentralen Venenkatheters (ZVK) über die linke V. jugularis interna. Die Anatomie des Lymphgefäßsystems wird einschließlich Varianten dargestellt, wie auch die Mechanismen, über die ein ZVK-assoziierter Chylothorax entsteht. Pathophysiologie, Klinik und Differentialdiagnose unter besonderer Berücksichtigung des Triglyzeridgehaltes werden ebenso erläutert wie die Therapieoptionen.

Abstract

The authors report on a chylothorax, a rare, although classical complication of left internal jugular vein cannulation. The anatomy of major lymphatic vessels including variations is illustrated. The mechanisms of central venous catheter associated chylothorax are discussed. Likewise described are pathophysiology, signs, clinical features, and differential diagnosis with special consideration of the triglyceride content as well as treatment options.

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Authors and Affiliations

  1. Klinik für Anästhesiologie und Intensivtherapie, Friedrich-Schiller-Universität Jena

    W. Schummer D.E.A.A., E.D.I.C. & C. Schummer

  2. Klinik für Anästhesie und Intensivtherapie, DRK Kliniken Westend, Berlin

    E. Hoffmann

  3. Klinik für Anästhesiologie und Intensivtherapie, Friedrich-Schiller-Universität, Bachstraße 18, 07743, Jena

    W. Schummer D.E.A.A., E.D.I.C.

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  1. W. Schummer D.E.A.A., E.D.I.C.
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  2. C. Schummer
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  3. E. Hoffmann
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Correspondence to W. Schummer D.E.A.A., E.D.I.C..

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Schummer, W., Schummer, C. & Hoffmann, E. Chylothorax nach Anlage eines zentralvenösen Katheters. Anaesthesist 52, 919–924 (2003). https://doi.org/10.1007/s00101-003-0544-5

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  • DOI: https://doi.org/10.1007/s00101-003-0544-5

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