Wilson-Storey D
Royal Hospital for Sick Children, Edinburgh, UK.
J R Coll Surg Edinb. 1996 Dec;41(6):412-3.
Difficulty with vascular access is a common problem in neonatal medicine and surgery. Recent advances in parenteral therapy/nutrition and manufacture of high quality intravenous lines have enabled smaller infants to survive. Thus, in the small surgical neonate, the insertion of an indwelling intravenous long line (either percutaneously or at cut down) is a frequent occurrence. This procedure is not without its complications and it is thus necessary for the clinician inserting these lines to be aware of this and fully understand the regional anatomy of the area being used. I wish to report an unusual complication which posed several diagnostic and management problems.
血管通路困难是新生儿医学和外科领域的常见问题。肠外治疗/营养以及高质量静脉输液管制造方面的最新进展使更小的婴儿得以存活。因此，在小型外科手术新生儿中，经常需要插入留置静脉长导管（经皮插入或切开插入）。该操作并非没有并发症，因此插入这些导管的临床医生有必要了解这一点，并充分熟悉所使用区域的局部解剖结构。我想报告一例引发了几个诊断和处理问题的罕见并发症。
