动脉导管术后的动脉血栓:可视化不常见的新生儿重症监护室 (NICU) 并发症
Andrea Calandrino1, Alessia Pepe2, Francesco Vinci1
1Neonatal Intensive Care Unit, Department of Maternal and Neonatal Health IRCCS Istituto Giannina Gaslini Genoa Italy.
Australasian journal of ultrasound in medicine
|September 29, 2025
概括
在新生儿中右内动脉血栓形成是罕见但严重的. 通过多普勒超声波及包括肝素在内的保守管理,早期诊断导致动脉导管错位病例的成功结果.
科学领域:
- 新生儿医学 新生儿医学
- 儿童心脏病学 儿童心脏病学
- 血管外科 血管外科
背景情况:
- 右内动脉 (RIIA) 血栓形成是一种罕见但严重的新生儿并发症,通常与动脉导管 (UAC) 错位有关.
- 及时诊断和管理对于预防新生儿重症监护室 (NICU) 的长期并发症至关重要.
研究的目的:
- 在患有缺氧缺血性脑病变 (HIE) 的新生儿中呈现RIIA血栓形成二次的UAC错位病例.
- 突出了床边多普勒超声波的诊断和监测作用.
- 为了证明一种保守的治疗方法的有效性.
主要方法:
- 一个有HIE的新生儿经历了治疗性低温和UAC插入.
- 床边多普勒超声波用于诊断和监测RIIA血栓形成.
- 保守的治疗包括导管切除,未分离的肝素输注和局部治疗.
主要成果:
- 在RIIA中确认了UAC的错位,导致了血栓形成.
- 多普勒超声波检测出凝块在导管切除6小时后.
- 保守治疗导致皮肤病变在36小时内消失,并在48小时内恢复动脉流动.
- 没有必要进行侵入性干预.
结论:
- 谨慎的UAC放置对于预防血管并发症至关重要.
- 床边多普勒超声波对于检测和监测RIIA血栓形成是非常宝贵的.
- 新生儿动脉血栓的保守管理可以导致最佳的结果,即使在复杂的情况下.
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