Hernándex de T M G, Sánchez Cabrera J M, Madrazo Navarro I, Ríos Cosío A, Figueroa Tarango A
Bol Med Hosp Infant Mex. 1978 Mar-Apr;35(2):361-5.
A case of paraplegia in a female newborn in whom an umbilical catheter was inserted for treatment of fetal maternal isoimmunization with exchange transufsion is presented. Paraplegia was diagnosed in the fifth day after the procedure was performed. A left transfemoral angiography demonstrated the absence of the segmentary artery of Adamkiewicz at the level of T-11, which is responsible of circulation of the lower segment of the spinal cord; paraplegia was considered to be secondary to spinal cord infarction due to thrombosis; other causes of spinal block were ruled out. Review of the literature shows several reports of manifestations of thrombosis after catheterization of umbilical vessels.
本文报告了一例女性新生儿截瘫病例，该新生儿因胎儿母血型不合溶血病接受换血治疗而插入了脐静脉导管。截瘫在操作后的第五天被诊断出来。左股动脉造影显示在胸11水平不存在供应脊髓下段血液循环的Adamkiewicz节段动脉；截瘫被认为是由血栓形成导致脊髓梗死继发的；排除了脊髓阻滞的其他原因。文献回顾显示有几篇关于脐血管插管后血栓形成表现的报道。
