超声引导下脐静脉导管置入与脐静脉和静脉导管对齐。
Ultrasound-Guided Umbilical Venous Catheter Insertion With Alignment of the Umbilical Vein and Ductus Venosus.
机构信息
Kanagawa Children's Medical Center, Kanagawa, Japan.
Takatsuki General Hospital, Osaka, Japan.
出版信息
J Ultrasound Med. 2020 Feb;39(2):379-383. doi: 10.1002/jum.15106. Epub 2019 Aug 9.
Previous studies have highlighted the importance of confirming the position of an umbilical venous catheter (UVC) tip by an ultrasound (US) examination. However, methods for preventing insertion into the portal circulation under US guidance have not yet been established. We report 15 cases in which a UVC was successfully passed through the ductus venosus by compressing the upper abdomen near the portal sinus of the liver to align the umbilical vein and ductus venosus under US guidance. The UVC was inserted into the correct position in 14 of the 15 neonates (93%) without complications.
先前的研究强调了通过超声（US）检查确认脐静脉导管（UVC）尖端位置的重要性。然而，在 US 引导下防止插入门脉循环的方法尚未建立。我们报告了 15 例病例，通过在肝门静脉窦附近的上腹部施压，使脐静脉和静脉导管在 US 引导下对齐，从而成功地将 UVC 通过导管静脉穿过。在 15 例新生儿中，有 14 例（93%）UVC 插入到正确位置，没有出现并发症。
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