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新生儿葡萄糖酸钙治疗的危害:动脉内注射导致兔回肠肠坏死

Hazards of calcium gluconate therapy in the newborn infant: intra-arterial injection producing intestinal necrosis in rabbit ileum.

作者信息

Book L S, Herbst J J, Stewart D

出版信息

J Pediatr. 1978 May;92(5):793-7. doi: 10.1016/s0022-3476(78)80159-0.

DOI:10.1016/s0022-3476(78)80159-0
PMID:641631
Abstract

Five infants received 10% calcium gluconate via umbilical artery catheters, which resulted in intestinal bleeding and lesions of the buttock, anus, groin, and thigh. The effects of intra-arterial calcium gluconate in two animal models were investigated. Injection of calcium into the aorta in the region of the posterior mesenteric artery resulted in immediate hyperperfusion of the descending colon; this may be an early hemodynamic response to injury in the area of colon supplied by this vessel. Injections into the arterial arcade of the rabbit ileum resulted in intestinal necrosis and villous atrophy. The use of umbilical artery catheters for administration of calcium gluconate is potentially hazardous.

摘要

五名婴儿通过脐动脉导管接受了10%的葡萄糖酸钙,这导致了肠道出血以及臀部、肛门、腹股沟和大腿的损伤。研究了葡萄糖酸钙动脉内注射在两种动物模型中的作用。在肠系膜后动脉区域向主动脉注射钙导致降结肠立即出现血流灌注过多;这可能是对该血管供应的结肠区域损伤的早期血流动力学反应。向兔回肠动脉弓注射导致肠道坏死和绒毛萎缩。使用脐动脉导管给予葡萄糖酸钙有潜在危险。

相似文献

1
Hazards of calcium gluconate therapy in the newborn infant: intra-arterial injection producing intestinal necrosis in rabbit ileum.新生儿葡萄糖酸钙治疗的危害:动脉内注射导致兔回肠肠坏死
J Pediatr. 1978 May;92(5):793-7. doi: 10.1016/s0022-3476(78)80159-0.
2
Extravasation of calcium gluconate as a cause of soft tissue calcification in infancy.
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[Skin necrosis and sciatic nerve paralysis following injection of Tris buffer into the umbilical artery of a newborn infant].[新生儿脐动脉注射Tris缓冲液后出现皮肤坏死和坐骨神经麻痹]
Monatsschr Kinderheilkd (1902). 1970 Apr;118(4):137-40.
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Intra-arterial infusions and intestinal necrosis in the rabbit: potential hazards of umbilical artery injections of ampicillin, glucose, and sodium bicarbonate.兔的动脉内输注与肠坏死:脐动脉注射氨苄西林、葡萄糖和碳酸氢钠的潜在危害。
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Localized necrosis of scalp in neonates due to calcium gluconate infusions: A cautionary note.新生儿葡萄糖酸钙输注致头皮局部坏死:一则警示
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[Lesions of the sciatic nerve in newborn infants after administration of various drugs into the umbilical arteries].[经脐动脉注射各种药物后新生儿坐骨神经的损伤]
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Roentgen patterns of extravasation of calcium gluconate in the tissues of the neonate.新生儿组织中葡萄糖酸钙外渗的X线表现
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Neonatal necrotizing enterocolitis. Occurrence secondary to thrombosis of abdominal aorta following umbilical arterial catheterization.新生儿坏死性小肠结肠炎。继发于脐动脉插管后腹主动脉血栓形成。
Arch Pathol. 1975 Oct;99(10):540-3.
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Subcutaneous calcium deposition in the neonate associated with intravenous administration of calcium gluconate.新生儿皮下钙沉积与静脉输注葡萄糖酸钙有关。
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引用本文的文献

1
Unexpected Ischemia: A Case of Neonatal Ulcer After Umbilical Artery Catheter Calcium Gluconate Infusion.意外缺血:一例脐动脉导管输注葡萄糖酸钙后新生儿溃疡的病例
Plast Reconstr Surg Glob Open. 2025 Oct 9;13(10):e7223. doi: 10.1097/GOX.0000000000007223. eCollection 2025 Oct.
2
Gangrene of the buttock: a devastating complication of the infusion of hyperosmolar solutions in the umbilical artery at birth.臀部坏疽:出生时脐动脉输注高渗溶液的一种毁灭性并发症。
Eur J Pediatr. 1985 Sep;144(3):261-2. doi: 10.1007/BF00451956.