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隐静脉导管移位后腰椎穿刺中脂肪乳剂的回收情况

Recovery of intralipid from lumbar puncture after migration of saphenous vein catheter.

作者信息

Odaibo F, Fajardo C A, Cronin C

机构信息

Department of Paediatrics, University of Manitoba, Winnipeg, Canada.

出版信息

Arch Dis Child. 1992 Oct;67(10 Spec No):1201-3. doi: 10.1136/adc.67.10_spec_no.1201.

DOI:10.1136/adc.67.10_spec_no.1201
PMID:1444560
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1590457/
Abstract

A term female infant was admitted to the intensive care unit with the diagnosis of tetralogy of Fallot with critical pulmonary stenosis. On the seventh day of life a long saphenous line was inserted that remained without complications until seven days later when the infant appeared septic. A lumbar puncture demonstrated the presence of intra-lipid in the cerebrospinal fluid that we interpreted as due to migration of the saphenous catheter. The child had an uneventful recovery.

摘要

一名足月女婴因法洛四联症合并严重肺动脉狭窄被收入重症监护病房。出生后第7天插入了一根大隐静脉导管,直至7天后婴儿出现败血症,该导管一直未出现并发症。腰椎穿刺显示脑脊液中存在脂质,我们认为这是由于大隐静脉导管移位所致。患儿康复过程顺利。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d9e/1590457/8c009cfb9889/archdisch00887-0070-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d9e/1590457/a72bf79e8c96/archdisch00887-0069-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d9e/1590457/8c009cfb9889/archdisch00887-0070-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d9e/1590457/a72bf79e8c96/archdisch00887-0069-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d9e/1590457/8c009cfb9889/archdisch00887-0070-a.jpg

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本文引用的文献

1
Fatal neurologic complication of parenteral feeding through a central vein catheter.经中心静脉导管进行肠外营养的致命性神经并发症。
Am J Dis Child. 1984 Apr;138(4):352-3. doi: 10.1001/archpedi.1984.02140420018007.
2
Central venous catheter insertion by femoral vein: safety and effectiveness for the pediatric patient.经股静脉插入中心静脉导管:对儿科患者的安全性和有效性。
Pediatrics. 1986 Jun;77(6):842-7.
3
Pulmonary complications of total parenteral nutrition in a neonate.新生儿全胃肠外营养的肺部并发症
4
Radiographic inguinal curl may indicate paraspinal misplacement of percutaneously inserted central venous catheters: report of three cases.影像学腹股沟卷曲可能提示经皮插入中心静脉导管的椎旁错位:三例报告
Pediatr Radiol. 2005 Jul;35(7):684-7. doi: 10.1007/s00247-005-1464-0. Epub 2005 Apr 21.
5
Recovery of Intralipid from lumbar puncture after migration of saphenous vein catheter.隐静脉导管移位后腰穿中脂肪乳剂的回收情况
Arch Dis Child. 1993 May;68(5 Spec No):620. doi: 10.1136/adc.68.5_spec_no.620.
J R Soc Med. 1986 Sep;79(9):545-7. doi: 10.1177/014107688607900918.
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Thrombosis and infection complicating central venous catheterization in neonates.新生儿中心静脉置管并发的血栓形成与感染
J Pediatr Surg. 1986 Sep;21(9):772-6. doi: 10.1016/s0022-3468(86)80364-5.
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Prospective multicenter study of vascular-catheter-related complications and risk factors for positive central-catheter cultures in intensive care unit patients.重症监护病房患者血管导管相关并发症及中心导管培养阳性危险因素的前瞻性多中心研究。
J Clin Microbiol. 1990 Nov;28(11):2520-5. doi: 10.1128/jcm.28.11.2520-2525.1990.