경피적 중심 정맥관 삽입 후 발생한 일측성 흉막삼출 1례
A Case of Unilateral Pleural Effusion Due to Percutaneously Inserted Central Venous Catheterization
남희영, 이초애, 이규형,
소속 상세정보
남희영 ( Nam Hee-Young )
포천중문의과대학교 소아과학교실
이초애 ( Lee Cho-Ae )
포천중문의과대학 소아과학교실
이규형 ( Lee Kyu-Hyung )
포천중문의과대학 소아과학교실
KMID : 0438520060130010171
Abstract
Percutaneously inserted central venous catheterization (PICC) is commonly used for the management of preterm infants and surgical newborn babies to provide intravenous access for prolonged therapy and parenteral nutrition. Insertion of PICC in neonate has been associated with both immediate and late complications. The immediate complications include catheter malposition, pneumothorax and hemothorax usually secondary to the insertion procedure. Late complications are sepsis, thrombosis, catheter tip migration, vessel perforation, cardiac tamponade, pericardial effusion, pleural effusion and chemical pneumonitis. It is recognized that catheter tip migration can occur at any time with potentially fatal outcome. We report here a newborn infant that successful PICC placement was followed a few days later by the development of a unilateral pleural effusion due to migration of the cathter tip, with a brief review of the literatures. (J Korean Soc Neonatol 2006;13:171- 175)
키워드
Percutaneously inserted central venous catheter;Pleural effusion
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