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一名早产儿在脐静脉插管后发生的包膜下血肿和多灶性坏死,为致命性肝脏并发症。

Subcapsular haematoma and multifocal necrosis as fatal liver complications following umbilical vein catheterisation in a premature baby.

作者信息

Cohen M, Sprigg A, Roberts I, Bustani P

机构信息

Department of Histopathology, Sheffield Children's Hospital, Sheffield, United Kingdom.

出版信息

Eur J Pediatr Surg. 2006 Feb;16(1):55-7. doi: 10.1055/s-2006-923917.

Abstract

We describe a case of subcapsular haematoma of the right lobe (SHL) and multifocal necrosis of the left lobe (MNL) of the liver following umbilical vein catheterisation (UVC) in a female at 24 weeks' gestation. SHL and MNL have been described as uncommon complications following umbilical vein catheterisation. To our knowledge this is the first time both complications have developed in the same patient. SHL should be considered in the differential diagnosis of hypovolaemic shock in this group of patients.

摘要

我们描述了一例孕24周女性在脐静脉插管(UVC)后发生右叶肝包膜下血肿(SHL)和左叶肝多灶性坏死(MNL)的病例。SHL和MNL被描述为脐静脉插管后罕见的并发症。据我们所知,这是首次在同一患者身上出现这两种并发症。在这类患者的低血容量性休克鉴别诊断中应考虑SHL。

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