Fortrat Jacques-Olivier, Saumet Michèle, Savagner Christophe, Leblanc Magali, Bouderlique Claude
Laboratoire d'Explorations Fonctionnelles Foetopédiatriques, Centre Hospitalier Universitaire, Angers, France.
Am J Perinatol. 2005 Oct;22(7):361-3. doi: 10.1055/s-2005-871526.
Recently, it has been suspected that venous dural sinus air embolisms could occur as a result of scalp vein infusion. The possible mechanism for this complication has not been documented to date, and procedures to avoid venous dural sinus air embolism have not been presented. We report a preterm neonate who demonstrated venous dural sinus air embolism following daily management of a scalp vein catheter. The air embolism disappeared in a few days without complications. Clinicians should avoid injecting air into a scalp vein catheter and leaving it open to air. Following careful examination and review of the infant's case, we were able to conclude that positioning the infant in either supine or Trendelenburg position during daily management of scalp venous infusions and using an air-occlusive dressing once the catheter is removed could limit the risk of venous dural sinus air embolisms caused by scalp vein infusions.
最近，有人怀疑头皮静脉输液可能导致静脉硬脑膜窦空气栓塞。迄今为止，这种并发症的可能机制尚未得到记录，也没有提出避免静脉硬脑膜窦空气栓塞的程序。我们报告了一名早产儿，在头皮静脉导管的日常管理后出现了静脉硬脑膜窦空气栓塞。空气栓塞在几天内消失，没有出现并发症。临床医生应避免向头皮静脉导管内注入空气并使其暴露于空气中。在仔细检查和回顾婴儿的病例后，我们得出结论，在头皮静脉输液的日常管理中将婴儿置于仰卧位或头低脚高位，并且在拔除导管后使用空气闭塞敷料，可以降低头皮静脉输液引起静脉硬脑膜窦空气栓塞的风险。
