Bhat R, Fisher E, Doshi U, Raza S, Sepehri B, Flanigan P, Vidyasagar D
Crit Care Med. 1981 Dec;9(12):858-61. doi: 10.1097/00003246-198112000-00012.
Thromboembolism of abdominal aorta and its branches after umbilical artery catheterization has been previously reported. In the past, total occlusion of the abdominal aorta and its major branches was associated with high mortality. Successful aortic thrombectomy in the neonatal period has been reported only once in English literature. The successful management of 2 infants described here shows the need for early diagnosis and aggressive approach, including surgical thrombectomy when indicated. Thromboembolism of abdominal aorta and iliac arteries can be diagnosed by noninvasive methods, such as 2-dimensional echoaortography and Doppler blood flow measurement.
脐动脉插管后腹主动脉及其分支的血栓栓塞此前已有报道。过去,腹主动脉及其主要分支的完全闭塞与高死亡率相关。英文文献中仅报道过1例新生儿期成功的主动脉血栓切除术。本文描述的2例婴儿的成功治疗表明,需要早期诊断并采取积极措施,包括在有指征时进行手术血栓切除术。腹主动脉和髂动脉的血栓栓塞可通过无创方法诊断,如二维超声主动脉造影和多普勒血流测量。