KS Lun, WH Lee

Abstract

We report a premature newborn who developed circulatory collapse 46 hours after birth due to cardiac tamponade. Echocardiography revealed large circumferential pericardial effusion. Pericardiocentesis yielded 12 ml of clear straw-colored fluid with high glucose level of 102.9 mmol/L. The neonate improved after the procedure. Pericardial tamponade is a rare complication related to umbilical vein catheter. Nevertheless, this life-threatening complication has to be suspected in newborn presenting with shock after umbilical vein catheterization.

本文報告一早產新生兒於出生後 46 小時出現心臟填塞和全身循環衰竭。超聲心動圖檢查發現大量心包積液。心包穿刺術引出含高糖量(糖濃度 102.9 mmol/L)的淺黃色心包積液 12 毫升。病兒的全身情況在心包穿刺術後有顯著改善。心臟填塞是一種罕見的臍靜脈導管法的併發症。然而，當新生兒在接受臍靜脈導法後出現休克時，我們必須考慮發生心臟填塞這種致命併發症的可能性。