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新生儿外周静脉空气栓塞导致截瘫:一例报告

Paraplegia due to peripheral venous air embolus in a neonate: a case report.

作者信息

Willis J, Duncan C, Gottschalk S

出版信息

Pediatrics. 1981 Apr;67(4):472-3.

PMID:6973128
Abstract

A term male infant with pneumonia was receiving fluid and antibiotics through an intravenous line in the scalp. Air was accidentally infused in this line. Subsequently, discoloration of the skin, a flaccid paraplegia, hematuria, and gastrointestinal bleeding occurred as the presumed effect of venous air entering the systemic arteries. The umbilical vessels were never catheterized. Absence of any apparent cerebral air embolism is interpreted as being due to the infant's position (head down) at the time of air infusion. The pathogenesis and prevention of this tragic complication are discussed.

摘要

一名患有肺炎的足月男婴通过头皮静脉输液管接受液体和抗生素治疗。输液管意外注入了空气。随后,皮肤变色、弛缓性截瘫、血尿和胃肠道出血出现,推测是静脉空气进入体循环动脉所致。从未对脐血管进行过插管。未出现明显的脑空气栓塞被解释为是由于注入空气时婴儿的体位(头低脚高)。讨论了这种悲惨并发症的发病机制和预防措施。

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