Clinical and Experimental Pediatrics

대한소아청소년과학회 (The Korean Pediatric Society)
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제대정맥도관으로 인한 흉막삼출 및 심장압전을 동반한 심낭삼출 1례

Umbilical venous line-related pleural and pericardial effusion causing cardiac tamponade in a premature neonate : A case report

  • 홍은정 (충북대학교 의과대학 소아과학교실) ;
  • 이경아 (충북대학교 의과대학 소아과학교실) ;
  • 배일헌 (충북대학교 의과대학 진단방사선과학교실) ;
  • 김미정 (충북대학교 의과대학 소아과학교실) ;
  • 한헌석 (충북대학교 의과대학 소아과학교실)
  • Hong, Eun Jeong (Department of Pediatrics, College of Medicine, Chungbuk National University) ;
  • Lee, Kyung A (Department of Pediatrics, College of Medicine, Chungbuk National University) ;
  • Bae, Il-Heon (Department of Radiology, College of Medicine, Chungbuk National University) ;
  • Kim, Mi-Jung (Department of Pediatrics, College of Medicine, Chungbuk National University) ;
  • Han, Heon-Seok (Department of Pediatrics, College of Medicine, Chungbuk National University)
  • 투고 : 2005.11.28
  • 심사 : 2006.01.06
  • 발행 : 2006.06.15
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초록

심장압전을 동반하는 흉막 및 심낭삼출은 신생아, 특히 극소 저출생체중아에서 흔히 시행되는 제대정맥도관의 드물게 발생하는 치명적인 합병증으로서 신속한 진단과 치료를 요한다. 저자들은 극소저출생체중아에서 제대정맥도관의 합병증으로 발생한 흉막삼출과 심장압전을 동반한 심낭삼출을 흉관삽입과 심낭도관술로 치유한 1례를 경험하고, 아직 국내에는 보고된 적이 없어 문헌고찰과 함께 보고하는 바이다.

Cardiac tamponade with pleural and pericardial effusion is a rare but life-threatening complication of umbilical venous catheterization in the newborn. It requires a timely diagnosis and urgent treatment, such as pericardiocentesis, to save lives of affected patients. Recently, we experienced a 7 day-old, very low birth weight infant, who developed a cardiac tamponade with pleural and pericardial effusions complicated by umbilical venous catheterization. The patient was successfully treated with pleural and pericardial drainages. Here, we report this case with a review of literature, since there has been no such previous case reported in Korea.

키워드

참고문헌

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