一名极低出生体重儿出现心脏压塞和双侧胸腔积液。

Cardiac tamponade and bilateral pleural effusion in a very low birth weight infant.

作者信息

Haass Cristina, Sorrentino Elena, Tempera Alessia, Consigli Chiara, De Paola Domenico, Calcagni Giulio, Piastra Marco, Finocchi Maurizio

机构信息

Neonatal Intensive Care Unit, S. Pietro Fatebenefratelli Hospital, Rome, Italy.

出版信息

J Matern Fetal Neonatal Med. 2009 Feb;22(2):137-9. doi: 10.1080/14767050802509561.

DOI:10.1080/14767050802509561

PMID:19253161

Abstract

A very low birth weight premature newborn developed a sudden cardiac tamponade due to parenteral fluid extravasation 1 month after central line insertion. Besides tensive pericardial effusion a bilateral pleural effusion also developed. An emergency pericardiocentesis was really life-saving and after pleural fluid removal a complete cardiorespiratory recovery was obtained. Pericardial and bilateral pleural effusions very rarely coexist as a complication of central line extravasation.

摘要

一名极低出生体重的早产新生儿在中心静脉置管1个月后因肠外液体外渗出现了急性心脏压塞。除了大量心包积液外，还出现了双侧胸腔积液。紧急心包穿刺术确实挽救了生命，在抽出胸腔积液后，心肺功能完全恢复。心包积液和双侧胸腔积液作为中心静脉外渗的并发症同时存在的情况非常罕见。