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降主动脉假性动脉瘤:脐动脉插管的一种并发症。

False aneurysm of the descending aorta: a complication of umbilical artery catheterization.

作者信息

Spangler J G, Kleinberg F, Fulton R E, Barnhorst D A, Ritter D G

出版信息

Am J Dis Child. 1977 Nov;131(11):1258-9. doi: 10.1001/archpedi.1977.02120240076016.

Abstract

A patient had an aneurysm of the descending aorta secondary to aortitis arising from umbilical artery catheterization and in association with coarctation of the aorta. The aortitis probably was the direct result of bacterial contamination of the umbillicus and catheter with Staphylococcus aureus and the placement of the catheter tip just distal to a coarctation of the aorta. The patient required surgical resection of the coarctation and aneurysm of the descending aorta and placement of a tubular Dacron graft at 6 month of age. This is, to our knowledge, a hitherto unreported complication of umbilical artery catheterization.

摘要

一名患者因脐动脉插管引发主动脉炎继发降主动脉瘤,并伴有主动脉缩窄。主动脉炎可能是脐部和导管被金黄色葡萄球菌细菌污染以及导管尖端置于主动脉缩窄远端的直接结果。该患者在6个月大时需要对降主动脉缩窄和动脉瘤进行手术切除,并植入一段涤纶人工血管。据我们所知,这是脐动脉插管迄今为止尚未报道的一种并发症。

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