Kelly M A, Finer N N, Dunbar L G
Am J Dis Child. 1984 Apr;138(4):352-3. doi: 10.1001/archpedi.1984.02140420018007.
A 9-month-old male infant, born at 32 weeks' gestation, had neonatal necrotizing enterocolitis and required long-term parenteral nutrition. At 9 months of age, a central venous catheter was inserted through the left saphenous vein into the inferior vena cava, and the infant died nine days later. Shortly before death, a lumbar puncture yielded milky fluid with an extremely high glucose and protein content. A postmortem barium injection through the central catheter demonstrated free barium in the retroperitoneal cavity and epidural space, and autopsy findings confirmed that the catheter had entered an ascending lumbar vein with a large retroperitoneal abscess. This case emphasized the need to confirm central venous catheter position at the time of insertion and pointed out yet another risk of parenteral alimentation.
一名孕32周出生的9个月大男婴，患有新生儿坏死性小肠结肠炎，需要长期肠外营养。9个月大时，通过左隐静脉插入中心静脉导管至下腔静脉，该婴儿9天后死亡。死亡前不久，腰椎穿刺抽出乳状液体，葡萄糖和蛋白质含量极高。通过中心导管进行的尸检钡剂注射显示腹膜后腔和硬膜外间隙有游离钡剂，尸检结果证实导管进入了一条腰升静脉，并伴有一个巨大的腹膜后脓肿。该病例强调了在插入中心静脉导管时确认其位置的必要性，并指出了肠外营养的又一风险。
