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先天性膈疝患者体外膜肺氧合插管位置异常

Malposition of extracorporeal membrane oxygenation cannulas in patients with congenital diaphragmatic hernia.

作者信息

Rais-Bahrami K, Martin G R, Schnitzer J J, Short B L

机构信息

Department of Neonatology, George Washington University School of Medicine, Children's National Medical Center, Washington, D.C. 20010-2970.

出版信息

J Pediatr. 1993 May;122(5 Pt 1):794-7. doi: 10.1016/s0022-3476(06)80029-6.

DOI:10.1016/s0022-3476(06)80029-6
PMID:8496764
Abstract

We describe two infants with congenital diaphragmatic hernia who underwent extracorporeal membrane oxygenation and in whom the venous cannula was in the left atrium instead of the right. The routine radiograph of the chest failed to demonstrate the malposition. We recommend using the echocardiogram to confirm the position of the cannula or to guide the surgeon during the cannulation of patients with congenital diaphragmatic hernia.

摘要

我们描述了两名患有先天性膈疝的婴儿,他们接受了体外膜肺氧合治疗,且其静脉插管位于左心房而非右心房。胸部常规X线片未能显示出插管位置异常。我们建议使用超声心动图来确认插管位置,或在先天性膈疝患者插管过程中为外科医生提供指导。

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