Clinical and Experimental Pediatrics

대한소아청소년과학회 (The Korean Pediatric Society)
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초극소 저출생 체중아에서 중심 정맥 도관술로 발생한 홀정맥 파열과 우측 흉수증 1례

Perforation of azygos vein and right-sided hydrothorax caused by peripherally inserted central catheter in extremely low birth weight infant

  • 하기수 (고려대학교 의과대학 소아과학교실) ;
  • 신정연 (고려대학교 의과대학 소아과학교실) ;
  • 황미정 (고려대학교 간호학과) ;
  • 최영옥 (고려대학교 간호학과) ;
  • 신동한 (고려대학교 의과대학 소아과학교실) ;
  • 장기영 (고려대학교 의과대학 소아과학교실) ;
  • 최병민 (고려대학교 의과대학 소아과학교실) ;
  • 유기환 (고려대학교 의과대학 소아과학교실) ;
  • 홍영숙 (고려대학교 의과대학 소아과학교실) ;
  • 손창성 (고려대학교 의과대학 소아과학교실)
  • Ha, Kee Soo (Department of Pediatrics, College of Medicine, Korea University) ;
  • Shin, Jung Yeon (Department of Pediatrics, College of Medicine, Korea University) ;
  • Hwang, Mi Jung (College of Nursing, Korea University) ;
  • Choi, Young Ok (College of Nursing, Korea University) ;
  • Shin, Dong Han (Department of Pediatrics, College of Medicine, Korea University) ;
  • Jang, Gi Young (Department of Pediatrics, College of Medicine, Korea University) ;
  • Choi, Byung Min (Department of Pediatrics, College of Medicine, Korea University) ;
  • Yoo, Kee Hwan (Department of Pediatrics, College of Medicine, Korea University) ;
  • Hong, Young Sook (Department of Pediatrics, College of Medicine, Korea University) ;
  • Son, Chang Sung (Department of Pediatrics, College of Medicine, Korea University)
  • 투고 : 2006.04.20
  • 심사 : 2006.06.01
  • 발행 : 2006.08.15
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초록

중심 정맥 도관술은 미숙아들의 출생과 생존율의 증가로 현재 신생아실에서 많이 시행 되고 있는 수기이며, 최근 중심 정맥 카테터 사용이 증가함에 따라 혈전이나 색전, 혈관 손상과 파열, 흉막 삼출, 화학적 폐렴과 같은 합병증이 보고되고 있다. 이에 저자들은 경피 중심 정맥 카테터 삽입 후 우측성 흉막 삼출액이 발생하여 시행한 혈관조영술에서 카테터가 홀정맥에 위치하였던 초극소 저출생 체중아에서 경피 중심 정맥 카테터를 제거한 후 흉막 삼출액이 호전되었던 1례를 경험하였기에 보고하는 바이다.

We report a case in which routine chest roentgenograms of an 840 g infant led to the belief that the peripherally inserted central catheter (PICC) was appropriately positioned within the superior vena cava when, in actuality, it was within the azygous arch. Although many cases of pleural effusions have been reported to be caused by a central venous catheter, a right-sided hydrothorax caused by azygous vein rupture from the use of a PICC is an extremely rare complication. Sudden changes in the condition of a preterm infant with PICC should raise the suspicion of a catheter-related problem.

키워드

참고문헌

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