Cardiac Tamponade from Percutaneous Central Venous Catheterization: Report of One Case

中央靜脈導管併發心包填塞症：治癒報告

歐錫漢(Sik-Hon Au) ； 孫德金(Der-Chin Sun) ； 呂鴻基(Hung-Chi Lue)

《Acta Paediatrica Taiwanica》 44卷4期 (2003/08) Pp. 235-237

https://doi.org/10.7097/APT.200308.0235

摘要

中央靜脈導管置放偶爾合併嚴重的外滲作用併發症，我們報告一名因爲經皮中央靜脈管併發心導包填塞症的早産兒個案。因爲需要給予靜脈營養而置放經皮中央靜脈導管，兩週後病患出現呼吸窘迫及心臓肥大現像，經由心臓超音波檢查發現“漂浮的心臓”而診斷心包填塞症。緊急心包膜穿刺術治療，並發現心包膜溶液成份與靜脈營養成份一致。移除導管後，病患很快脫離危險，生命徵象逐步穩定，二年後成長良好。

關鍵字

心包填塞症 ； 心包膜刺術 ； 中央靜脈導管

並列摘要

Central venous catheters (CVC) are occasionally associated with life-threatening extravasation complications. We report a case of cardiac tamponade in a premature infant complicating with percultaneous central venous catheter. The baby developed respiratory distress while receiving parenteral nutrition through a central venous line. Chest X-ray films revealed progressive increasing cardiomegaly and 2-dimensional (2-D) echocardiography showed a “swinging heart.” A diagnosis of cardiac tamponade was made and the baby was rescued under emergency pericardiocentesis and removal of the central catheter. The aspirated fluid was the content of parenteral fluid administered.

並列關鍵字

cardiac tamponade ； central venous catheter ； pericardiocentesis