由于周围插入中央导管后的心脏输液引起的心脏栓塞:一个单一机构的病例系列

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Ha T Trinh¹, Thien T Nguyen¹, Tinh T Nguyen^2,1,3

¹Neonatal Intensive Care Unit, Children's Hospital 2, Ho Chi Minh City, VNM.

|April 19, 2024

概括

在新生儿中错位的外围插入中心导管 (PICC) 可能会导致心脏栓塞. 心脏治疗点超声波 (POCUS) 对于及时诊断和管理至关重要,可以预防致命的结果.

科学领域:

新生儿重症监护室新生儿重症监护室
心脏病学心脏病学
医疗器械医疗器械医疗器械

背景情况:

外围插入的中央导管 (PICC) 提供了好处,但也带来了风险.
错误的PICCs可以导致危及生命的并发症,如心周溢血 (PCE) 和心脏坦波纳德 (CT).

研究的目的:

报告四例新生儿由于错位PICC而发生心脏吸管 (CT) 的病例.
为了突出这些关键案件的成功管理.
强调医疗点超声波 (POCUS) 在诊断和治疗中的作用.

主要方法:

对新生儿进行回顾性分析,PICC插入和随后的PCE导致CT.
在2022年期间在越南新生儿重症监护室 (NICU) 进行的研究.
心脏治疗点超声波 (POCUS) 用于诊断和指导心脏周周.

主要成果:

在PICC插入后3-24天,四名早产婴儿 (28-30周怀孕,900-1,500克) 发展了PCE/CT.
临床症状包括血液动力学不稳定,昏迷,呼吸暂停,心肌梗塞和心血管崩.
POCUS指导心脏缩;吸入的液体与肠道营养相一致;没有死亡事件发生.

结论:

在PICC插入后新生儿的突然恶化证明POCUS需要及时检测PCE/CT.
及时的POCUS诊断和心脏中心检查对于管理PICC相关并发症至关重要.
建议定期监测PICC位置,并考虑POCUS在X射线上进行尖端验证.

关键词:

一个心脏坦波尼德.心脏周围的输液.周围插入的中央导管.护理中心的超声波.冲击冲击冲击冲击冲击冲击

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