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首例因早产新生儿张力性气胸行胸腔闭式引流术后发生医源性心脏压塞的病例报告。

First Reported Case of Iatrogenic Cardiac Tamponade Following Chest Drain Insertion for Tension Pneumothorax in a Premature Newborn.

作者信息

Grandmougin Daniel, Dan Pan, Wurtz François, Larmure Olivier, Birliga Constanta, Jellimann Jean-Marc, Giroux Nathan, Bosser Gilles, Maureira Juan-Pablo

机构信息

Department of Cardiac Surgery and Transplantation, ILCV Louis Mathieu, Centre Hospitalier Régional et Universitaire de Nancy, Nancy, France.

Department of Anesthesia, Hôpital d'Enfants, Centre Hospitalier Régional et Universitaire de Nancy, Nancy, France.

出版信息

Case Rep Pediatr. 2025 May 18;2025:7960753. doi: 10.1155/crpe/7960753. eCollection 2025.

DOI:10.1155/crpe/7960753
PMID:40420844
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12103966/
Abstract

Cardiac tamponade is a challenging clinical situation in preterm newborns. We report the first case of an iatrogenic cardiac tamponade secondary to direct myocardial disruption with pericardial penetration following unsuccessful attempts to drain a right tension pneumothorax in a 34-week premature female newborn. The pathophysiologic mechanisms involved are discussed.

摘要

心脏压塞在早产新生儿中是一种具有挑战性的临床情况。我们报告了首例医源性心脏压塞病例，该病例发生在一名34周早产女婴身上，在尝试引流右侧张力性气胸失败后，因直接心肌破裂伴心包穿透继发心脏压塞。文中讨论了所涉及的病理生理机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dfb/12103966/a70d146c2f16/CRIPE2025-7960753.001.jpg

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