在极度早产时出现下肢PICC错位的罕见但可以预防的并发症:对增强的手术成像标准的影响
Manal Mouhssine1, Aimen Ben Ayad1, Aiman Rahmani1
1Department of Pediatrics, Division of Neonatology, Tawam Hospital, Al Ain, UAE.
Journal of neonatal-perinatal medicine
|May 9, 2025
概括
在新生儿中,外围插入中央导管 (PICC) 的错位可能导致罕见的并发症. 这一案例突出了由于PICC尖端位置不正确而引起的腹壁外流,强调了需要特定的X射线视图的需要.
科学领域:
- 新生儿医学 新生儿医学
- 儿科手术 儿科手术
- 放射学 放射学是一门学科.
背景情况:
- 周围插入的中央导管 (PICC) 错位是一种已知的并发症,特别是在下肢插入时.
- 腹壁并发症是新生儿错位PICCs的罕见但严重的后果.
研究的目的:
- 描述一种罕见的腹壁全亲肠营养 (TPN) 外流,由于极端早产新生儿的PICC错位.
- 强调适当的成像技术的重要性,以验证下肢PICC尖端的位置.
主要方法:
- 一个极度早产的新生儿的病例报告,他的PICC通过静脉被插入.
- 临床表现为低血糖和明显的腹壁.
- 使用横向X射线交叉表视图进行诊断成像,以确定PICC尖端错位和TPN外流.
主要成果:
- 发现PICC尖端在腹壁内位置不当,导致TPN外流.
- 立即去除PICC导致患者显著的临床改善.
- 患者只留下轻微的腹部痕而恢复过来.
结论:
- 下肢PICC错位可能导致异常的腹壁并发症.
- 常规的前后后和侧面X射线视图对于确认新生儿正确的PICC尖端位置至关重要.
- 早期检测和干预对于管理PICC相关并发症和确保患者的良好结果至关重要.
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