van Tellingen Vera, Lilien Marc, Bruinenberg Jos, de Vries Willem B
Department of Neonatology, Wilhelmina Children's Hospital, University Medical Center Utrecht, P.O. Box 85090, 3508 AB Utrecht, The Netherlands.
Int J Nephrol. 2011;2011:406515. doi: 10.4061/2011/406515. Epub 2011 Aug 15.
Objective. To report the irreversible severe neurological symptoms following the hyponatremic hypertensive syndrome (HHS) in an infant after umbilical arterial catheterization. Design. Case report with review of the literature. Setting. Neonatal intensive care unit at a tertiary care children's hospital. Patient. A three-week-old preterm infant. Conclusions. In evaluating a neonate with hyponatremia and hypertension, HHS should be considered, especially in case of umbilical arterial catheterization. In case of diagnostic delay, there is a risk of severe irreversible neurological damage.
目的。报告一名婴儿在脐动脉插管后发生低钠血症性高血压综合征（HHS）后的不可逆严重神经症状。设计。病例报告并复习文献。背景。一家三级儿童医院的新生儿重症监护病房。患者。一名三周大的早产儿。结论。在评估患有低钠血症和高血压的新生儿时，应考虑HHS，尤其是在脐动脉插管的情况下。若诊断延迟，存在严重不可逆神经损伤的风险。
