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題 名 | Catheter-Related Superior Vena Cava Syndrome Complicated by Chylothorax in a Premature Infant=早產兒中央靜脈導管使用併發上腔靜脈症候群及乳糜胸 |
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作 者 | 徐慧芳; 周怡宏; 王超然; 吳淑娟; | 書刊名 | 長庚醫學 |
卷 期 | 26:10 2003.10[民92.10] |
頁 次 | 頁782-786 |
分類號 | 417.5171 |
關鍵詞 | 中央靜脈導管; 上腔靜脈症候群; 乳糜胸; Superior vena cava syndrome; Chylothroax; Central venous catheter; |
語 文 | 英文(English) |
中文摘要 | 本文描述一早產兒因患有後天形成之乳糜胸而導致呼吸窘迫。我們從打入顯影劑後的斷層掃番中可以發現到上腔靜脈受到阻塞並有多條側枝循環,而從手術中發現到其乃因使用中央靜脈導管而導致血管中產生纖維組織及多處栓塞,因而造成上腔靜脈症候群併乳糜胸。病人呼吸窘迫的症狀於開刀後改善。由此得知,在一個情況穩定的病人身上突然出現呼吸窘迫的症狀,不管其中央靜脈導管使用多久,其所引發的併發症是必須被列入鑑別診斷的。儘管放置中央靜脈導管被認為是很簡單、很安全的程序,它仍會造成某些併發症。適當的靜脈 導管材質及適當的放置位置可減絡這些併發症,倘若併發症已發生,及早診斷及治療將會使傷害減至最低。 |
英文摘要 | A premature infant experience respiratory distress due to chylothorax. Contrastenhanced chest computed tomography showed superior vena cava (SVC) obstruction with collaterals, and surgery confirmed and obstruction of the SVC by intravascular fibrotic tissue and thrombi caused by placement of a central venous catheter. The respiratory distress improved after surgical intervention. In the differential diagnosis of acute respiratory distress, it is necessary to consider catheter-related chylothorax and SVC syndrome when a previously stable patient has an acute change in cardiopulmonary status, regardless of the duration of catheter use. Although often considered safe and easy, central venous catheter placement may result in complications. Using appropriate catheters and choosing proper insertion sites can minimize these vents. Early diagnosis and treatment can be life-saving should complications occur. |
本系統中英文摘要資訊取自各篇刊載內容。