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脐静脉插管导致原有血栓移位。

Displacement of preexisting thrombus by umbilical vein catheterization.

作者信息

Chandar J S, Wolfe S B

机构信息

Department of Pediatrics, University of Miami School of Medicine, Florida 33101.

出版信息

Pediatr Cardiol. 1994 Nov-Dec;15(6):311-2. doi: 10.1007/BF00798126.

DOI:10.1007/BF00798126
PMID:7530846
Abstract

Balloon atrial septostomy is recommended as a standard palliative procedure in neonates with congenital heart defects who are dependent on intracardiac shunting. We describe an unusual and unreported complication associated with "bedside" balloon atrial septostomy. The umbilical venous catheterization resulted in displacement of a thrombus from the ductus venosus or the hepatic vein. We recommend careful two-dimensional echocardiographic monitoring during such procedures.

摘要

对于依赖心内分流的先天性心脏病新生儿,球囊房间隔造口术被推荐作为一种标准的姑息性手术。我们描述了一种与“床边”球囊房间隔造口术相关的罕见且未报道过的并发症。脐静脉插管导致血栓从静脉导管或肝静脉移位。我们建议在这类手术过程中进行仔细的二维超声心动图监测。

相似文献

1
Displacement of preexisting thrombus by umbilical vein catheterization.脐静脉插管导致原有血栓移位。
Pediatr Cardiol. 1994 Nov-Dec;15(6):311-2. doi: 10.1007/BF00798126.
2
Transumbilical balloon atrial septostomy in 16 infants with transposition of the great arteries.16例大动脉转位婴儿的经脐气囊房间隔造口术
Pediatrics. 1974 Oct;54(4):495-7.
3
Assessment of bedside umbilical vein balloon septostomy using two-dimensional echocardiographic guidance in transposition of great arteries.
Int J Cardiol. 1989 Dec;25(3):271-7. doi: 10.1016/0167-5273(89)90217-9.
4
Balloon atrial septostomy via the umbilical vein.经脐静脉球囊房间隔造口术
Br Heart J. 1992 Feb;67(2):204-5; author reply 206. doi: 10.1136/hrt.67.2.204-b.
5
Saline contrast echocardiography complements cardiac interventions in neonates with transposition of great arteries and abnormal ductus venosus anatomy.盐水对比超声心动图补充了大动脉转位和异常静脉导管解剖结构的新生儿心脏介入治疗。
BMJ Case Rep. 2021 Sep 3;14(9):e244023. doi: 10.1136/bcr-2021-244023.
6
Balloon atrial septostomy under two-dimensional echocardiographic control.
Int J Cardiol. 1991 Jan;30(1):33-42. doi: 10.1016/0167-5273(91)90121-5.
7
Balloon atrial septostomy guided by echocardiography in a neonatal intensive care unit.超声心动图引导下的新生儿重症监护病房球囊房间隔造口术。
Arq Bras Cardiol. 2010 Aug;95(2):153-8. doi: 10.1590/s0066-782x2010005000076. Epub 2010 Jun 25.
8
[Echocardiographic monitoring of atrial septostomy in the transposition of the great arteries].[大动脉转位房间隔造口术的超声心动图监测]
G Ital Cardiol. 1984 Feb;14(2):91-5.
9
Successful treatment of a nondeflatable balloon atrial septostomy catheter.不可扩张球囊房间隔造口术导管的成功治疗。
Int J Cardiol. 1992 Mar;34(3):348-50. doi: 10.1016/0167-5273(92)90036-3.
10
Use of umbilical venous catheter before performing Rashkind's procedure.在进行拉什金德氏手术前使用脐静脉导管。
Arch Cardiovasc Dis. 2011 Oct;104(10):547-9. doi: 10.1016/j.acvd.2010.12.009.

引用本文的文献

1
Neuroimaging findings in newborns with congenital heart disease prior to surgery: an observational study.先天性心脏病新生儿术前神经影像学研究:一项观察性研究。
Arch Dis Child. 2019 Nov;104(11):1042-1048. doi: 10.1136/archdischild-2018-314822. Epub 2019 Jun 26.
2
Umbilical vein catheterization--appropriate and inappropriate placement.脐静脉置管术——恰当与不恰当的置管部位。
Pediatr Radiol. 2010 Dec;40(12):1941-9. doi: 10.1007/s00247-010-1840-2. Epub 2010 Oct 2.
3
Preseptostomy myocardial infarction in a patient with complex transposition of the great arteries.

本文引用的文献

1
Balloon atrial septostomy in the neonatal intensive care unit.新生儿重症监护病房中的球囊房间隔造口术。
Br Heart J. 1984 Apr;51(4):377-8. doi: 10.1136/hrt.51.4.377.
2
Transumbilical balloon atrial septostomy for transposition of the great arteries in infants under the age of 60 hours.60小时龄以下婴儿大动脉转位的经脐气囊房间隔造口术
Am Heart J. 1984 Jan;107(1):174-6. doi: 10.1016/0002-8703(84)90156-x.
3
The ductus venosus and the mechanism of its closure.静脉导管及其闭合机制。
Pediatr Cardiol. 2008 Jan;29(1):185-7. doi: 10.1007/s00246-007-9094-y. Epub 2007 Sep 22.
Arch Dis Child. 1966 Dec;41(220):597-605. doi: 10.1136/adc.41.220.597.
4
Transumbilical atrial septostomy in the newborn.新生儿经脐静脉房间隔造口术
Am J Dis Child. 1970 Apr;119(4):354-5. doi: 10.1001/archpedi.1970.02100050356016.
5
Assessment of bedside umbilical vein balloon septostomy using two-dimensional echocardiographic guidance in transposition of great arteries.
Int J Cardiol. 1989 Dec;25(3):271-7. doi: 10.1016/0167-5273(89)90217-9.
6
Balloon and blade atrial septostomy facilitated by two-dimensional echocardiography.二维超声心动图辅助下的球囊和刀片房间隔造口术
Am J Cardiol. 1986 Feb 1;57(4):273-7. doi: 10.1016/0002-9149(86)90904-5.