RESUMO

We discuss the case of a premature baby weighing 1,200 g who developed right diaphragmatic paralysis when a venous cutdown was performed on his internal jugular vein. Acquired unilateral diaphragmatic paralysis has been associated with obstetric trauma of the cervical plexus and surgical procedures of the neck and thorax, when the phrenic nerve is injured. We suggest fluoroscopy as the best diagnostic method; early diaphragmatic plication reduces the morbimortality of these patients.

Assuntos

Sangria/efeitos adversos , Doenças do Prematuro , Veias Jugulares , Nervo Frênico/lesões , Paralisia Respiratória/etiologia , Enterocolite Pseudomembranosa/complicações , Enterocolite Pseudomembranosa/terapia , Humanos , Recém-Nascido de Baixo Peso , Recém-Nascido , Masculino , Nutrição Parenteral