NICU, University of Hong Kong-Shenzhen Hospital, Shenzhen, Guangdong, China.
Neonatology, Royal Children's Hospital, Parkville, Victoria, Australia.
BMJ Case Rep. 2021 May 27;14(5):e242390. doi: 10.1136/bcr-2021-242390.
Central venous catheter (CVC) placement is common in the care of very low birthweight (VLBW) preterm neonates. Although it is generally considered to be safe, CVC placement is associated with complications, including extravasation that may lead to significant morbidity and mortality. We report the clinical course of an extremely preterm neonate born at 27 weeks gestation, and another 5 VLBW preterm neonates reported in the literature with hemidiaphragmatic paralysis related to extravasation of parenteral solution from CVC placement. In VLBW preterm neonates, spontaneous recovery of diaphragmatic paralysis related to extravasation of parenteral solution is possible.
中心静脉导管（CVC）置管在极低出生体重（VLBW）早产儿的治疗中很常见。虽然一般认为它是安全的，但 CVC 置管与并发症有关，包括外渗，可能导致严重的发病率和死亡率。我们报告了一例孕 27 周出生的极早产儿的临床病程，以及文献中另外 5 例与 CVC 置管中外渗的肠外溶液有关的膈肌麻痹的 VLBW 早产儿。在 VLBW 早产儿中，与肠外溶液外渗相关的膈肌麻痹可能会自发恢复。
