6月1日，小琴通过网络预约挂号就诊于我院血管通路门诊，血管通路门诊专家

On June 1, Xiaoqin made an appointment through the Internet to attend the vascular access clinic of our hospital. The vascular access clinic expert Qin Ying, the nurse, inspected the catheter for poor blood return and no chest wall swelling. X-ray and ultrasound are recommended. an examination. Chief nurse Qin Ying found a small part of the catheter narrowing in the middle part of the X-ray (Figure 1). It is suspected that there is catheter clamping syndrome. If it is not treated in time, the catheter may break in the body and cause serious complications. So he urgently contacted the interventional operating room for an angiographic examination. The interventional room doctor found that the contrast agent had overflowed from the middle section of the catheter, and confirmed that the catheter was damaged (Figure 2). The patient was informed of the occurrence of clipping syndrome and treatment advice. After the patient signed and agreed, he decided to The infusion port was removed in the interventional operating room. After disinfecting the local skin, cut the sutures, carefully and slowly pull out the tube, and smoothly take out the infusion port. After checking that there are two 0.6cm-long damaged sections in the middle part of the catheter (Figure 3), the film was taken again after the operation, and there was no residue in the body. Confirm that the catheter was completely pulled out.

On June 1, Xiaoqin through the network appointment registration in our hospital vascular path clinic, vascular access clinic specialist Qin Ying director of the nurse to check the catheter back blood is not smooth, check the chest wall no swelling and other special circumstances, it is recommended to do X-ray shooting and ultrasound examination. Qin Ying's chief carer found from the X-ray that the middle part of the catheter narrowed (Figure 1), suspected that there is catheter clamping syndrome, if not treated in time, the catheter body fracture may lead to serious complications. Then the emergency contact intervention surgery room photogram, intervention room doctor found the contrast agent from the middle section of the catheter overflow, determined that there is catheter damage (Figure 2), to inform the patient of clamping syndrome and treatment opinions, after the patient signed consent, decided to intervene in the operating room infusion port removal. After disinfecting the local skin, cut open the succulation place, carefully and slowly pull the tube, smoothly remove the infusion port. After examination of the middle part of the catheter there are two 0.6cm long broken section (Figure 3), after surgery again filmed, no residue in the body, confirm that the catheter is completely pulled out.

On June 1, Xiaoqin went to the vascular access clinic of our hospital through online appointment. Chief nurse Qin Ying, an expert in vascular access clinic, checked that the blood return of the catheter was not smooth, and there was no swelling of the chest wall. It was recommended to take X-ray photography and ultrasound examination. Chief nurse Qin Ying found that a small part of the middle part of the catheter narrowed from the X-ray (Fig. 1), and suspected the occurrence of catheter clamping syndrome. If not handled in time, the catheter internal rupture may occur, leading to serious complications. So emergency contact interventional operating room for angiography, interventional room doctors found contrast medium overflow from the middle of the catheter, confirmed that there was catheter damage (Figure 2), informed the patient of clamping syndrome and treatment advice, after the patient signed and agreed, decided to take out the infusion port in the intervention operation room. After disinfecting the local skin, cut the suture joint, pull out the tube carefully and slowly, and take out the infusion port smoothly. After examination, there were two damaged sections (0.6cm long) in the middle part of the catheter (Fig. 3). After the operation, there was no residue in the body. It was confirmed that the catheter was pulled out completely.<br>