Miller D, Kirkpatrick B V, Kodroff M, Ehrlich F E, Salzberg A M
J Pediatr Surg. 1979 Jun;14(3):264-9. doi: 10.1016/s0022-3468(79)80482-0.
Umbilical artery catheterization in 400 newborns was followed by umbilical or hypogastric artery perforation with massive extra- and intraperitoneal bleeding in 7 infants. Common predisposing factors were multiple attempts and insertion against resistance. A characteristic clinical picture developed, including hypotension, abdominal distention, and lower abdominal wall induration and ecchymosis, often extending into the genitalia and upper thighs, with absent femoral pulses. Treatment is immediate transfusion and bilateral umbilical and hypogastric artery ligation. One of seven patients survived.
400例新生儿进行脐动脉插管后，7例发生脐动脉或腹下动脉穿孔，伴有大量腹腔内外出血。常见的诱发因素是多次尝试以及对抗阻力插入。出现了典型的临床表现，包括低血压、腹胀、下腹壁硬结和瘀斑，常蔓延至生殖器和大腿上部，股动脉搏动消失。治疗方法是立即输血并双侧结扎脐动脉和腹下动脉。7例患者中1例存活。
