Castilla-Moreno M, Bueno-Gaona E, Fernández-Jurado M I, Zabala I
Sección de Anestesiología Pediátrica, Sección de Cardiología Pediátrica, Hospital Universitario Carlos Haya, Málaga.
Rev Esp Anestesiol Reanim. 2003 May;50(5):237-41.
A neonate with meningitis required placement of several catheters for treatment. One catheter broke and a fragment embolized in the lobar branch of a pulmonary artery. This critical situation produced no symptoms and was successfully managed by percutaneous extraction from the femoral artery. Percutaneous central catheters made of silicon are used increasingly for long-term treatment of critically ill neonates. Such catheters are highly useful and effective but are not free of complications that can be serious or even fatal and that must be watched for when catheterization is indicated. The pediatric anesthesiologist should be familiar with the use of silicon catheters, the reasons for their failure and signs of incorrect placement. Although our patient suffered no complication after the break and embolization, the possibility of severe problems means we must monitor catheter use carefully.
一名患脑膜炎的新生儿在治疗过程中需要插入多根导管。其中一根导管破裂，碎片栓塞在肺动脉的叶分支中。这种危急情况未产生任何症状，通过经皮从股动脉取出成功处理。由硅制成的经皮中心导管越来越多地用于危重新生儿的长期治疗。此类导管非常有用且有效，但并非没有严重甚至致命的并发症，在需要插管时必须密切关注。儿科麻醉医生应熟悉硅导管的使用、其失败原因及放置不当的迹象。尽管我们的患者在导管破裂和栓塞后未出现并发症，但严重问题的可能性意味着我们必须仔细监测导管的使用情况。
