在静脉导管治疗后的门静脉血栓与新生儿窒息症之间的关联
Marina Colella1,2, Anna Zanin1,3, Artemis Toumazi4
1Neonatal Intensive Care Unit, Assistance Publique-Hôpitaux de Paris, Robert Debré Children's Hospital, University Paris Cité, Paris, France.
Neonatology
|March 24, 2024
概括
新生儿门静脉血栓塞 (PVT) 与带静脉导管 (UVC) 有关. 较长的紫外线持续时间和治疗性低温对于缺氧性缺血性脑膜病变增加了新生儿PVT的风险.
科学领域:
- 新生儿科学 新生儿科学
- 血管医学 血管医学
- 儿科手术 儿科手术
背景情况:
- 新生儿门静脉血栓塞 (PVT) 是一种已知的并发症,通常与带静脉导管 (UVC) 相关.
- 新生儿PVT的危险因素,特别是那些经历治疗性低温症的新生儿,需要进一步阐明.
研究的目的:
- 为了确定与近期到满期新生儿的PVT相关的变量,与UVC.
- 专门研究对低氧性缺血性脑病变 (HIE) 的受控治疗性低温症 (CTH) 对PVT发展的影响.
主要方法:
- 在怀孕36周或之后出生,出生体重超过1500克的婴儿的回顾性队列研究.
- 超声波检查评估了紫外线位置和PVT在5-10天之间.
- 多变量分析确定了独立的风险因素.
主要成果:
- 在213名婴儿中,PVT诊断在27%的婴儿中,主要在左门静脉分支中.
- 更高的妊娠年龄和更长的紫外线持续时间是PVT的重要风险因素.
- 与未冷却婴儿 (21% PVT) 相比,对HIE (36% PVT) 的CTH暴露独立地与增加的PVT发病率有关.
结论:
- 左侧PVT在新生儿有UVC时很常见.
- 紫外线持续时间和HIE的CTH是这个人群中PVT的独立风险因素.
关键词:
控制的低温症 控制的低温症低毒性缺血性脑内科病变 (hypoxic ischemic encephalopathy) 是一种高毒性缺血性脑内科病变.新生儿窒息症 新生儿窒息症门静脉血栓形成的原因带静脉导管治疗的方法更多相关视频
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