关键词: Fracture deep venous system neonatal peripherally inserted central venous catheter surgical removal

Mesh : Humans Infant, Newborn Device Removal / methods Equipment Failure Catheterization, Central Venous / methods adverse effects Central Venous Catheters Catheterization, Peripheral / methods Male Saphenous Vein Female Femoral Vein Leg / blood supply

来  源:   DOI:10.3233/NPM-240006

Abstract:
An infant with a corrected gestational age of 38 weeks, weighing 3.1 kg, was referred to our pediatric surgical department because of a fractured peripherally inserted central venous catheter in the left lower limb with the end retracting into the deep venous system. An operation was undertaken to remove the PICC. Because the central venous catheter was, unintentionally, placed in the left small saphenous vein and thus positioned in the left femoral vein, the left great saphenous vein was incised to gain access. Subsequently, the catheter could be removed successfully. Fracturing of a peripherally inserted central venous catheter is a rare occurance. Removal depends on vessel size, location and experertise.
摘要:
校正胎龄为38周的婴儿,重达3.1公斤,由于左下肢外周插入的中心静脉导管骨折,末端缩回深静脉系统,因此转诊至我们的儿科外科。进行了拆除PICC的操作。因为中心静脉导管是,无意中,放置在左小隐静脉中,因此位于左股静脉中,切开左大隐静脉以进入。随后,导管可以成功移除。外周插入中心静脉导管的骨折很少发生。移除取决于血管大小,位置和位置。
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