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一名5周大男婴出现双侧全胃肠外营养性胸腔积液。

Bilateral total parenteral nutrition pleural effusions in a 5-week-old male infant.

作者信息

Flannigan Christopher, Bourke Thomas, Keown Karen, Terris Mark

机构信息

Paediatric Intensive Care Unit, Royal Belfast Hospital for Sick Children, Belfast, UK.

出版信息

BMJ Case Rep. 2012 Jul 3;2012:bcr0120125608. doi: 10.1136/bcr.01.2012.5608.

Abstract

A 5-week-old male infant was admitted to the paediatric intensive care unit with small bowel obstruction secondary to an inguinal hernia. His postoperative course was complicated by suspected migration of his left internal jugular central venous catheter into branches of the inferior thyroid artery and mediastinum. This resulted in bilateral pleural effusions which were biochemically and visually similar to the total parenteral nutrition he was receiving. After drainage of the pleural effusions he made an uneventful recovery.

摘要

一名5周大的男婴因腹股沟疝继发小肠梗阻被收治入儿科重症监护病房。他的术后病程因怀疑左颈内静脉中心静脉导管迁移至甲状腺下动脉分支和纵隔而变得复杂。这导致双侧胸腔积液,其生化和外观与他正在接受的全胃肠外营养相似。胸腔积液引流后,他顺利康复。

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本文引用的文献

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Chylothorax or leakage of total parenteral nutrition?乳糜胸还是全胃肠外营养渗漏?
Eur Respir J. 1998 Nov;12(5):1233-5. doi: 10.1183/09031936.98.12051233.
10
Vascular erosion by central venous catheters. Clinical features and outcome.
Chest. 1992 Jun;101(6):1633-8. doi: 10.1378/chest.101.6.1633.

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