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经手术从极早产儿体内取出切断的脐静脉导管。

Surgical retrieval of transected umbilical vein catheter in an extremely preterm neonate.

机构信息

Department of Pediatrics, Randers Regional Hospital, Randers, Denmark.

General Medicine, Aarhus University Department of Clinical Medicine, Aarhus, Denmark.

出版信息

BMJ Case Rep. 2023 Dec 21;16(12):e257355. doi: 10.1136/bcr-2023-257355.

DOI:10.1136/bcr-2023-257355
PMID:38129078
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10749136/
Abstract

Umbilical catheters are used in the care of critically ill neonates for intravenous treatment. It is generally considered a safe procedure, although complications can occur. Of these, catheter breakage and intravenous migration are rare but potentially life-threatening events. Due to the low frequency of which these events occur, obtaining detailed descriptions of removal techniques can pose a challenge. Here, we describe a case of a broken umbilical vein catheter and the surgical retrieval of the retained fragment. We also present a thorough literature search of cases of broken umbilical catheters and the method by which they were removed.

摘要

脐导管用于危重新生儿的静脉治疗。虽然可能会发生并发症,但通常被认为是一种安全的操作。其中,导管断裂和静脉内迁移较为罕见,但却是潜在的危及生命的事件。由于这些事件发生的频率较低,因此获取详细的移除技术描述可能具有挑战性。在这里,我们描述了一例脐静脉导管断裂和手术取出残留片段的病例。我们还进行了彻底的文献检索,以了解断裂的脐导管的病例以及它们被移除的方法。

相似文献

1
Surgical retrieval of transected umbilical vein catheter in an extremely preterm neonate.经手术从极早产儿体内取出切断的脐静脉导管。
BMJ Case Rep. 2023 Dec 21;16(12):e257355. doi: 10.1136/bcr-2023-257355.
2
Percutaneous retrieval of umbilical vein catheter fragment in an infant two months after embolization.
Turk J Pediatr. 2018;60(2):191-193. doi: 10.24953/turkjped.2018.02.012.
3
Cardiomegaly in a premature neonate after venous umbilical catheterization.脐静脉置管后早产儿出现心脏扩大。
Eur J Pediatr. 2009 Jan;168(1):107-9. doi: 10.1007/s00431-008-0704-3. Epub 2008 Apr 1.
4
Experience with double-lumen umbilical venous catheters in the low-birth-weight neonate.低出生体重新生儿使用双腔脐静脉导管的经验。
J Perinatol. 1994 Jul-Aug;14(4):280-4.
5
Peripheral Arterial Lines in Extremely Preterm Neonates: A Potential Alternative to Umbilical Arterial Catheters.外周动脉置管在极早产儿中的应用:一种替代脐动脉导管的潜在选择。
Adv Neonatal Care. 2022 Aug 1;22(4):357-361. doi: 10.1097/ANC.0000000000000909. Epub 2021 Jul 30.
6
Retrieval of a retained umbilical vein catheter at 6 months.6 个月时取出遗留的脐静脉导管。
BMJ Case Rep. 2023 Nov 14;16(11):e254380. doi: 10.1136/bcr-2022-254380.
7
Umbilical catheter-associated complications in a level IV neonatal intensive care unit.四级新生儿重症监护病房中脐导管相关并发症。
J Perinatol. 2020 Apr;40(4):573-580. doi: 10.1038/s41372-019-0579-3. Epub 2020 Jan 7.
8
Sonography for Complete Evaluation of Neonatal Intensive Care Unit Central Support Devices: A Pilot Study.超声检查对新生儿重症监护病房中央支持设备的全面评估:一项初步研究。
J Ultrasound Med. 2016 Jul;35(7):1465-73. doi: 10.7863/ultra.15.06104. Epub 2016 May 26.
9
The Extended Dwell Peripheral Intravenous Catheter Is an Alternative Method of NICU Intravenous Access.延长留置外周静脉导管是新生儿重症监护病房静脉通路的一种替代方法。
Adv Neonatal Care. 2018 Aug;18(4):295-301. doi: 10.1097/ANC.0000000000000515.
10
Association between Umbilical Catheters and Neonatal Outcomes in Extremely Preterm Infants.极低出生体重早产儿脐静脉置管与新生儿结局的相关性
Am J Perinatol. 2018 Feb;35(3):233-241. doi: 10.1055/s-0037-1606607. Epub 2017 Sep 14.

本文引用的文献

1
Surgical Retrieval of a Transected Dual-Lumen Umbilical Venous Catheter Remnant that Was Misplaced in the Aorto-Iliac Artery of a Pre-Term Neonate.经手术从早产儿的腹主动脉-髂动脉中取出被切断的双腔脐静脉导管残段。
Vasc Endovascular Surg. 2022 May;56(4):428-431. doi: 10.1177/15385744211068341. Epub 2022 Feb 17.
2
Umbilical catheter rupture: A serious complication in neonatal intensive care units.脐静脉导管破裂:新生儿重症监护病房中的一种严重并发症。
Int J Pediatr Adolesc Med. 2021 Sep;8(3):146-148. doi: 10.1016/j.ijpam.2020.09.002. Epub 2020 Sep 18.
3
Bilateral lower extremity ischemia due to a retained umbilical artery catheter in a preterm neonate.一名早产儿因保留脐动脉导管导致双侧下肢缺血。
J Pediatr Surg Case Rep. 2020 May;56. doi: 10.1016/j.epsc.2020.101424. Epub 2020 Mar 7.
4
Umbilical catheter-associated complications in a level IV neonatal intensive care unit.四级新生儿重症监护病房中脐导管相关并发症。
J Perinatol. 2020 Apr;40(4):573-580. doi: 10.1038/s41372-019-0579-3. Epub 2020 Jan 7.
5
A case report of embolized umbilical venous catheter retrieval from the heart via femoral access in 660 g premature neonate.一例通过股动脉途径从660克早产新生儿心脏取出栓塞脐静脉导管的病例报告。
Radiol Case Rep. 2019 Sep 25;14(11):1415-1419. doi: 10.1016/j.radcr.2019.09.006. eCollection 2019 Nov.
6
A novel use of ultrasound for the extraction of a fractured umbilical arterial catheter.超声在取出断裂脐动脉导管中的新应用。
Indian J Anaesth. 2019 Aug;63(8):660-662. doi: 10.4103/ija.IJA_202_19.
7
Distal Migration and Successful Retrieval of a Broken Umbilical Venous Catheter in a Neonate.
Indian Pediatr. 2019 Feb 15;56(2):149.
8
Percutaneous retrieval of umbilical vein catheter fragment in an infant two months after embolization.
Turk J Pediatr. 2018;60(2):191-193. doi: 10.24953/turkjped.2018.02.012.
9
Transcatheter retrieval of embolized catheter using venovenous loop in a neonate.
Turk J Pediatr. 2018;60(1):113-115. doi: 10.24953/turkjped.2018.01.020.
10
Vascular air embolism: A silent hazard to patient safety.血管空气栓塞:患者安全的无声隐患。
J Crit Care. 2017 Dec;42:255-263. doi: 10.1016/j.jcrc.2017.08.010. Epub 2017 Aug 7.