CHEN Chunjiang, ZENG Lu, CEN Jiagen, WU Shunfen. A case report of premature infants with limb arterial thrombosis[J]. Journal of Clinical Medicine in Practice, 2023, 27(4): 52-55. DOI: 10.7619/jcmp.20222599
Citation: CHEN Chunjiang, ZENG Lu, CEN Jiagen, WU Shunfen. A case report of premature infants with limb arterial thrombosis[J]. Journal of Clinical Medicine in Practice, 2023, 27(4): 52-55. DOI: 10.7619/jcmp.20222599

A case report of premature infants with limb arterial thrombosis

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  • Received Date: August 21, 2022
  • Available Online: March 14, 2023
  • Combined with related literatures, the diagnosis and treatment of a premature infant with arterial thrombosis were discussed. The infant developed arterial embolism of right limb due to mistakenly insertion into axillary artery during axillary vein catheterization and continuous blood transfusion, and was conducted with targeted treatments such as local nitroglycerin smear, anticoagulation by low molecular weight heparin calcium, and thrombolysis by urokinase. The vessel recanalized, the symptoms disappeared, and no adverse reactions occurred after 18 days. Neonatal arterial thrombosis can cause serious consequences, strengthening the understanding of the disease and recognizing the disease earlier are needed, and the infant can be cured by actively implementing local vasodilation combined with anticoagulation and thrombolysis.

  • [1]
    申子云, 程秀永. 新生儿导管相关性血栓的诊疗及预防[J]. 中国小儿急救医学, 2022, 29(2): 147-150.
    [2]
    孙国玉, 姜毅. 新生儿血栓[J]. 中华新生儿科杂志: 中英文, 2017, 32(6): 480.
    [3]
    MAKATSARIYA A, BITSADZE V, KHIZROEVA J, et al. Neonatal thrombosis[J]. J Matern Fetal Neonatal Med, 2022, 35(6): 1169-1177. doi: 10.1080/14767058.2020.1743668
    [4]
    王丹虹. 新生儿肢体动脉血栓诊疗进展[J]. 临床儿科杂志, 2018, 36(4): 311-315. https://www.cnki.com.cn/Article/CJFDTOTAL-LCAK201804026.htm
    [5]
    郝丹丹, 陈春燕, 杨宏, 等. 新生儿动脉置管后肢体缺血一例[J]. 中华新生儿科杂志: 中英文, 2018, 33(5): 382.
    [6]
    殷张华, 朱天闻, 张永红, 等. 新生儿血栓症4例[J]. 中华实用儿科临床杂志, 2019, 34(7): 558-560. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJYE200302023.htm
    [7]
    崔树森. 中国胸廓出口综合征研究进展[J]. 中华显微外科杂志, 2021, 44(2): 124-136.
    [8]
    张娇, 李娜, 范玲. 4例早产儿动脉留置后致肢体苍白的原因分析与护理[J]. 中国医科大学学报, 2015, 44(10): 950-952.
    [9]
    邵肖梅, 叶鸿瑁, 丘小汕. 实用新生儿学[M]. 5版. 北京: 人民卫生出版社, 2019, 1-10.
    [10]
    胡晓静, 李丽玲, 姚莉莉, 等. 硝酸甘油软膏涂抹在早产儿动脉置管导致肢端缺血中的应用[J]. 护理实践与研究, 2015, 12(10): 119-120. https://www.cnki.com.cn/Article/CJFDTOTAL-HLSJ201510067.htm
    [11]
    SAXONHOUSE M A. Management of neonatal thrombosis[J]. Clin Perinatol, 2012, 39(1): 191-208.
    [12]
    SOL J J, VAN DE LOO M, BOERMA M, et al. NEOnatal Central-venous Line Observational study on Thrombosis (NEOCLOT): evaluation of a national guideline on management of neonatal catheter-related thrombosis[J]. BMC Pediatr, 2018, 18(1): 84.
    [13]
    PARK C K, PAES B A, NAGEL K, et al. Neonatal central venous catheter thrombosis: diagnosis, management and outcome[J]. Blood Coagul Fibrinolysis, 2014, 25(2): 97-106.

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