Rubaltelli F F, Zanardo V, Saia O S, D'Elia R D, Audino G, Largajolli G, Cantarutti F
Padiatr Padol. 1978;13(1):39-43.
Seven cases of heart arrest or pronounced bradycardia during 308 correct catheterizations of the umbilical vein in the first hours of life are reported. The indications for the catheterization were: 1. unsuccessful catheterization of the umbilical arteries in newborns with respiratory distress or post-asphyxia syndrome; 2. exchange transfusions for severe neonatal hyperbilirubinemia or sepsis; 3. monitoring the central vein pressure in severely compromised shocky newborns. Cardiac massage was always effective, at least temporarily, in restoring the heart activity. However, only three infants survived. Two of them had normal follow-up reported at 6 and 12 months respectively. The immediate risks and the necessary precautions for carrying out umbilical vein catheterization in severely ill newborns in the first hours of life are stressed.
报告了在出生后最初几小时对308例脐静脉进行正确插管过程中出现7例心脏骤停或明显心动过缓的情况。插管的适应证为：1. 患有呼吸窘迫或窒息后综合征的新生儿脐动脉插管失败；2. 对严重新生儿高胆红素血症或败血症进行换血治疗；3. 监测严重休克新生儿的中心静脉压。心脏按摩在恢复心脏活动方面始终有效，至少是暂时有效。然而，只有3名婴儿存活。其中2名婴儿分别在6个月和12个月时报告随访情况正常。强调了在出生后最初几小时对重症新生儿进行脐静脉插管的直接风险和必要预防措施。
