Dilli Dilek, Özyazici Elif, Fettah Nurdan, Kaya Özkan, Pala Akdogan Melek, Zenciro Lu Aysegül, Okumus Nurullah, Güzoglu Nilüfer
Departamento de Neonatología, Hospital Universitario y de Investigación Materno Infantil Dr. Sami Ulus.
Departamento de Cardiología Pediátrica, Hospital Universitario y de Investigación Materno Infantil Dr. Sami Ulus.
Arch Argent Pediatr. 2015 Oct;113(5):e283-5. doi: 10.5546/aap.2015.eng.e283.
Umbilical vessel catheterization is a common procedure in Neonatal Intensive Care Units, especially in very low birthweight infants. Rarely, umbilical artery catheters break, and the retained fragments can cause thrombosis, infection, distal embolization, and even death. Herein, we describe a neonate with clinically significant bilateral limb ischemia developing after removal of a broken umbilical artery catheter. He was under vasodilator treatment in addition to fibrinolytic and anticoagulants. The evolution was favourable.
脐血管插管术在新生儿重症监护病房是一种常见操作，尤其是在极低出生体重儿中。脐动脉导管极少会发生断裂，残留碎片可导致血栓形成、感染、远端栓塞，甚至死亡。在此，我们描述一名新生儿，在拔除一根断裂的脐动脉导管后出现具有临床意义的双侧肢体缺血。除了接受纤溶和抗凝治疗外，他还接受了血管扩张剂治疗。病情发展良好。
