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新生儿脐静脉导管钙化纤维蛋白鞘的CT及超声表现

CT and Sonographic Findings of a Calcified Fibrin Sheath From an Umbilical Venous Catheter in a Neonate.

作者信息

Brockbank Brandon G, Clark Paul

机构信息

Radiology, Brooke Army Medical Center, San Antonio, USA.

出版信息

Cureus. 2022 Feb 3;14(2):e21865. doi: 10.7759/cureus.21865. eCollection 2022 Feb.

DOI:10.7759/cureus.21865
PMID:35265407
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8897980/
Abstract

Central venous catheters are ubiquitous in current medical practice in intensive care units and for long-term nutrition, chemotherapy, and antibiotic therapies. Umbilical venous catheters provide short-term central vascular access and are used in the neonatal period. This case presents sonographic and CT imaging findings of an intrahepatic and intracardiac calcified fibrin sheath following removal of a short-term umbilical venous catheter in a 32-day-old premature neonate.

摘要

中心静脉导管在重症监护病房的当前医疗实践中以及长期营养、化疗和抗生素治疗中无处不在。脐静脉导管提供短期的中心血管通路，用于新生儿期。本病例展示了一名32天大的早产新生儿在拔除短期脐静脉导管后肝内和心内钙化纤维鞘的超声和CT影像学表现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33a8/8897980/9a12fff753f5/cureus-0014-00000021865-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33a8/8897980/119b88dddb5f/cureus-0014-00000021865-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33a8/8897980/f740ee9c94d4/cureus-0014-00000021865-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33a8/8897980/4188a5ea35ca/cureus-0014-00000021865-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33a8/8897980/0a5362b2aad6/cureus-0014-00000021865-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33a8/8897980/9a12fff753f5/cureus-0014-00000021865-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33a8/8897980/119b88dddb5f/cureus-0014-00000021865-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33a8/8897980/f740ee9c94d4/cureus-0014-00000021865-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33a8/8897980/4188a5ea35ca/cureus-0014-00000021865-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33a8/8897980/0a5362b2aad6/cureus-0014-00000021865-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33a8/8897980/9a12fff753f5/cureus-0014-00000021865-i05.jpg

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本文引用的文献

1
Adverse events associated with umbilical catheters: a systematic review and meta-analysis.与脐带导管相关的不良事件：系统评价和荟萃分析。
J Perinatol. 2021 Oct;41(10):2505-2512. doi: 10.1038/s41372-021-01147-x. Epub 2021 Jul 16.
2
Presence of retained calcified fibrin sheath after central venous catheter removal: A systematic literature review.中心静脉导管拔除后遗留钙化纤维鞘的存在：系统文献回顾。
J Vasc Access. 2022 Jul;23(4):644-652. doi: 10.1177/1129729820969328. Epub 2020 Nov 4.
3
Rare Case of a Calcified Catheter-Related Sheath Embolizing to the Right Pulmonary Artery.
钙化导管相关鞘栓子栓塞至右肺动脉的罕见病例。
Case Rep Radiol. 2020 May 20;2020:8623538. doi: 10.1155/2020/8623538. eCollection 2020.
4
Right atrial catheter "ghost" removal by cardiac surgery: A pediatric case series report.经心脏手术取出右心房导管“幽灵”：儿科病例系列报告。
Pediatr Blood Cancer. 2020 Jun;67(6):e28197. doi: 10.1002/pbc.28197. Epub 2020 Mar 24.
5
Peripherally Inserted Central Venous Catheter for Pediatric and Young Adult Patients With Hematologic and Malignant Diseases.用于患有血液系统和恶性疾病的儿科及年轻成人患者的外周静脉穿刺中心静脉导管
J Pediatr Hematol Oncol. 2020 Oct;42(7):429-432. doi: 10.1097/MPH.0000000000001719.
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Fibrin sheath of a peripherally inserted central catheter undepicted with gray-scale (real-time B-mode) ultrasonography: A case report.
Radiol Case Rep. 2018 Mar 6;13(3):537-541. doi: 10.1016/j.radcr.2018.02.016. eCollection 2018 Jun.
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Dwell time and risk of central-line-associated bloodstream infection in neonates.新生儿留置时间与中心静脉导管相关血流感染的风险。
J Hosp Infect. 2017 Nov;97(3):267-274. doi: 10.1016/j.jhin.2017.06.023. Epub 2017 Jun 23.
8
Calcified Thrombus in Right Atrium: Rare but Treatable Complication of Long-term Indwelling Central Venous Catheter.右心房钙化血栓：长期留置中心静脉导管罕见但可治疗的并发症。
Cardiol Res. 2011 Aug;2(4):189-192. doi: 10.4021/cr24w. Epub 2011 Jul 25.
9
Complications of Central Venous Access Devices: A Systematic Review.中央静脉通路装置的并发症：系统评价。
Pediatrics. 2015 Nov;136(5):e1331-44. doi: 10.1542/peds.2015-1507. Epub 2015 Oct 12.
10
Calcified central venous catheter fibrin sheath: case report and review of the literature.钙化中心静脉导管纤维蛋白鞘：病例报告及文献综述
Clin Imaging. 2015 Nov-Dec;39(6):1130-3. doi: 10.1016/j.clinimag.2015.07.014. Epub 2015 Jul 17.