由于导管迁移,儿童心脏手术后的乳性尿液
Violette Suc1, Mathilde Grapin2, Ayman Haydar1
1Pediatric cardiac intensive care unit, Hôpital universitaire Necker-Enfants malades, Assistance Publique-Hôpitaux de Paris, Paris, France.
心脏手术后新生儿的一例罕见的乳性尿液是由迁移的中央静脉导管进入静脉引起的,导致亲肠营养扩散. 这突显了一个独特的术后并发症.
科学领域:
- 新生儿手术 新生儿手术
- 儿科心脏病学 儿科心脏病学
- 血管接入 血管接入
背景情况:
- 中心静脉导管对于新生儿心脏手术患者至关重要.
- 该程序具有挑战性,具有高的并发症风险,如血栓栓塞和感染.
- 常见的插入部位包括关静脉和大腿静脉,在单静脉心脏病中避免关通道.
研究的目的:
- 在心脏手术后的新生儿中报告一种罕见的乳尿病例.
- 为了确定乳尿的原因,作为中央静脉导管迁移.
- 为了突出一个独特的术后并发症.
主要方法:
- 一个新生儿患有B型大动脉门中断的病例报告.
- 在生命的第九天进行了手术纠正.
- 在术后第五天对乳尿的检查显示了导管迁移到静脉中的情况.
主要成果:
- 在术后,婴儿呈现出乳色尿液.
- 广泛的调查证实了中央静脉导管向右静脉的迁移.
- 腹腔营养扩散到静脉中,导致乳性尿液.
结论:
- 乳尿在儿童中不常见,通常与寄生虫感染有关.
- 这种病例表明心脏手术后中央静脉导管迁移的罕见并发症.
- 这种迁移导致了对肠道的营养扩散到静脉.
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