Krishnamoorthy K S, Fernandex R J, Todres I D, De Long G R
Pediatrics. 1976 Sep;58(3):443-5.
Major complications have followed the use of umbilical artery catheterization in the newborn. The procedure is often a vital part of the monitoring of the critically ill infant and efforts are therefore made to reduce these risks. Recently, we have encountered two newborn infants who developed paraplegia for which no definite etiology could be uncovered. However, their management was attended by the use of umbilical artery catheters and it is postulated that the etiology of paraplegia may have resulted from embolization from these potential thrombogenic sources. The blood supply of the spinal cord and the site of possible embolization are discussed.
新生儿使用脐动脉导管插入术后出现了严重并发症。该操作通常是重症婴儿监测的重要组成部分，因此人们努力降低这些风险。最近，我们遇到了两名新生儿发生截瘫，病因未明。然而，他们的治疗过程中使用了脐动脉导管，据推测截瘫的病因可能是来自这些潜在血栓形成源的栓塞。本文讨论了脊髓的血液供应以及可能发生栓塞的部位。
