接受肠外营养的新生儿中心静脉置管并发心脏压塞
[Cardiac tamponade in newborn infants with central venous catheter receiving parenteral nutrition].
作者信息
Torres Montes A, Lima Rogel V, Hernández Sierra F, de los Santos López F, Arenas León J L, Falcón Escobedo R
机构信息
Facultad de Medicina de la UASLP, Hospital Central Dr. Ignacio Morones Prieto, San Luis Potosí.
出版信息
Arch Inst Cardiol Mex. 1998 Jan-Feb;68(1):64-8.
OBJECTIVE
To alert about an unusual and poorly informed entity, with high mortality. That should be considered in critically ill neonates with central venous catheter and parenteral nutrition, in order to establish early diagnosis and treatment.
CASE REPORT
Two neonates, one born at term and the other premature, with central venous catheter and parenteral nutrition. They had sudden unexplained hypotension and signs of decompensation and death secondary to cardiac tamponade.
DISCUSSION
Cardiac tamponade secondary to central venous catheter is an unusual entity seldom discussed in the literature. The estimated incidence is 0.3 to 2% with a 74 to 100% mortality. It must be suspected and diagnosed early in order to decrease the mortality.
目的
提醒注意一种不常见且认识不足的疾病，其死亡率高。对于患有中心静脉导管并接受肠外营养的危重新生儿应予以考虑，以便尽早进行诊断和治疗。
病例报告
两名新生儿，一名足月儿，另一名早产儿，均有中心静脉导管并接受肠外营养。他们突然出现原因不明的低血压以及失代偿体征，并因心包填塞而死亡。
讨论
中心静脉导管所致心包填塞是一种不常见的疾病，在文献中很少被讨论。估计发病率为0.3%至2%，死亡率为74%至100%。必须尽早怀疑并诊断，以降低死亡率。
Zotero 插件