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儿童因中心静脉导管位置不当导致岩下窦血栓形成:病例报告。

Inferior Petrosal Sinus Thrombosis in a Child due to Malposition of Central Venous Catheter: A Case Report.

出版信息

Med Princ Pract. 2017;26(6):579-581. doi: 10.1159/000484637. Epub 2017 Oct 29.

Abstract

OBJECTIVE

To report a case of inferior petrosal sinus thrombosis associated with malposition of central venous catheterization (CVC).

CLINICAL PRESENTATION AND INTERVENTION

A 5-month-old boy was admitted to Şifa University Hospital because of pneumonia. When exophthalmos occurred in the right eye, he was referred to Ege University Hospital. Cranial magnetic resonance imaging and magnetic resonance venography confirmed that the catheter in the right inferior petrosal sinus caused the thrombosis. The catheter was extracted and anticoagulant treatment was started.

CONCLUSION

In this case report, malpositioning of the CVC was the cause of the thrombosis. To minimize such complications, catheterization should be done with the supervision of an expert and postprocedure radiography should also be performed.

摘要

目的

报告一例与中心静脉导管(CVC)位置不当相关的岩下窦血栓形成。

临床表现与干预

一名 5 个月大的男婴因肺炎入住Şifa 大学医院,当右眼出现眼球突出时,他被转至 Ege 大学医院。头颅磁共振成像和磁共振静脉造影证实,右侧岩下窦的导管导致血栓形成。导管被拔出,并开始抗凝治疗。

结论

在本病例报告中,CVC 位置不当是血栓形成的原因。为了最大限度地减少此类并发症,应在专家的监督下进行置管,并在术后进行放射摄影。

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本文引用的文献

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Cerebral sinovenous thrombosis in pediatric practice.小儿脑静脉窦血栓形成。
Pediatr Radiol. 2013 Jan;43(2):173-88. doi: 10.1007/s00247-012-2486-z. Epub 2012 Dec 1.

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