Silvani P, Valeri R, Corbella E, Torri G
Cattedra di Anestesiologia e Rianimazione, Università degli Studi di Milano, Ospedale San Raffaele, Italie.
Cah Anesthesiol. 1993;41(3):266-8.
A case of Horner's syndrome is reported in a 8 month-infant after ultrasound guided, percutaneous internal jugular cannulation. This syndrome receded spontaneously after resolution of a laterocervical hematoma caused by reiterated venipunctures performed during the cannulation. Ultrasound imaging, by providing vizualization of the internal jugular vein and surrounding structures, may help to localize the vein and decrease the incidence of complications. Considering this case report and the cases previously reported in literature, the authors conclude that paediatric patients are at a higher risk compared to adults to develop Horner's syndrome following percutaneous internal jugular cannulation.
本文报告了1例8个月大婴儿在超声引导下经皮颈内静脉置管后发生霍纳综合征的病例。该综合征在置管期间反复静脉穿刺导致颈侧血肿消退后自行缓解。超声成像可显示颈内静脉及其周围结构,有助于静脉定位并降低并发症发生率。结合本病例报告及文献中先前报道的病例,作者得出结论,与成人相比,儿科患者经皮颈内静脉置管后发生霍纳综合征的风险更高。