作为正确放置脐静脉导管并发症的胸腔和心包积液

Pleural and Pericardiac Effusion as a Complication of Properly Placed Umbilical Venous Catheter.

作者信息

Unal Sezin, Arifoglu Ilter, Celik Istemi Han, Yilmaz Osman, Bas Ahmet Yagmur, Demirel Nihal

机构信息

Department of Neonatology, University of Health Sciences, Etlik Zubeyde Hanim Women's Health Teaching and Research Hospital, Ankara, Turkey.

Department of Pediatric Cardiology, University of Health Sciences, Etlik Zubeyde Hanim Women's Health Teaching and Research Hospital, Ankara, Turkey.

出版信息

J Neonatal Surg. 2017 Apr 15;6(2):34. doi: 10.21699/jns.v6i2.508. eCollection 2017 Apr-Jun.

DOI:10.21699/jns.v6i2.508

PMID:28770131

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5538600/

Abstract

Pleural and pericardial effusions are extremely rare complications of umbilical venous catheterization in newborns. A preterm male infant weighing 850g, with insertion of an umbilical venous catheter (UVC) developed massive right pleural and pericardial effusions. The position of catheter tip was verified by chest radiography and echocardiography. The effusions were drained by thoracentesis and pericardiocentesis without complication, and were biochemically similar as total parenteral infusion which infused through catheter.

摘要

胸腔和心包积液是新生儿脐静脉置管极为罕见的并发症。一名体重850克的早产男婴，在插入脐静脉导管（UVC）后出现大量右侧胸腔和心包积液。通过胸部X线摄影和超声心动图检查确定导管尖端位置。通过胸腔穿刺术和心包穿刺术引流积液，未发生并发症，且积液的生化指标与通过导管输注的全胃肠外营养液相似。