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极低出生体重儿因中心静脉导管导致的心包积液伴心脏压塞。

Pericardial effusion with cardiac tamponade caused by a central venous catheter in a very low birth weight infant.

作者信息

Chioukh Fatma-Zohra, Ameur Karim Ben, Hmida Hayet Ben, Monastiri Kamel

机构信息

Department of Intensive Care and Neonatal Medicine, Teaching Hospital of Monastir, Tunisia.

出版信息

Pan Afr Med J. 2016 Sep 20;25:13. doi: 10.11604/pamj.2016.25.13.8731. eCollection 2016.

Abstract

With more and more extreme premature and very low-birth weight babies being resuscitated, umbilical central venous catheterisation is now being used more frequently in neonatal intensive care. One of the life-threatening complications is pericardial effusion and cardiac tamponade; however, it is potentially reversible when it is caught in time. The authors present a case of cardiac tamponade following umbilical venous catheterisation in a neonate. The patient was diagnosed at the appropriate time by echocardiography and urgent pericardiocentesis proved lifesaving.

摘要

随着越来越多的极早产儿和极低出生体重儿得到复苏,脐静脉中心置管术目前在新生儿重症监护中使用得越来越频繁。危及生命的并发症之一是心包积液和心脏压塞;然而,如果及时发现,它可能是可逆的。作者报告了一例新生儿脐静脉置管术后发生心脏压塞的病例。该患者通过超声心动图及时确诊,紧急心包穿刺术被证明挽救了生命。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fcb/5268805/647a2c052abd/PAMJ-25-13-g001.jpg

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