Sancak Selim, Tuten Abdulhamit, Yildirim Tulin Gokmen, Karatekin Guner
Izzet Baysal Government Hospital, Neonatal Intensive Care Unit, Sağlık mahallesi, Şehitler caddesi, Merkez/Bolu, 14300, Türkiye, Bolu, Turkey.
Zeynep Kamil Maternity and Children's Training and Research Hospital, Neonatal Intensive Care Unit, Istanbul, Turkey.
J Clin Ultrasound. 2018 Feb;46(2):140-144. doi: 10.1002/jcu.22493. Epub 2017 Apr 25.
A preterm newborn infant, delivered at 30 weeks of gestation and 965 g birth weight, developed respiratory distress with resistant hypoxia after a central catheter line was inserted via the right venae brachialis on postnatal day 21. Left-sided massive pleural effusion, collapsed left lung with air bronchograms, and bidirectional shunting through reopened ductus arteriosus were detected by targeted neonatal echocardiography. Hydrothorax was drained under sonographic guidance, producing a milky-white fluid biochemically compatible with parenteral nutrition. We report this case of hydrothorax secondary to a misplaced central catheter on the contralateral side of its peripheral insertion. © 2017 Wiley Periodicals, Inc. J Clin Ultrasound 46:140-144, 2018.
一名孕30周出生、出生体重965克的早产新生儿，在出生后第21天经右侧肱静脉插入中心静脉导管后出现呼吸窘迫并伴有顽固性低氧血症。经针对性新生儿超声心动图检查发现左侧大量胸腔积液、左肺萎陷伴空气支气管征，以及动脉导管未闭重新开放导致的双向分流。在超声引导下对胸腔积液进行引流，引出的乳白色液体在生化指标上与肠外营养相符。我们报告这例因中心静脉导管在外周插入对侧位置不当继发胸腔积液的病例。© 2017威利期刊出版公司。《临床超声杂志》2018年第46卷：140 - 144页。
