Intercostal artery damage and massive hemothorax after thoracocentesis by central venous catheter:A case report

Central venous catheters (CVCs) are widely used in various puncture and drainage operations in intensive care units (ICUs) in recent years. Compared to conventional operating devices, CVC was welcomed by clinicians because of the advantages of easy use, less damage to the body and convenient fixatio...

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Bibliographic Details
Published in:中华创伤杂志（英文版） 2017, Vol.20 (5), p.305-307
Main Authors: Bai-Qiang Li, Bo Ye, Fa-Xi Chen, Lu Ke, Zhi-Hui Tong, Jie-Shou Li, Wei-Qin Li
Format: Article
Language:English
Online Access:Get full text
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Summary:Central venous catheters (CVCs) are widely used in various puncture and drainage operations in intensive care units (ICUs) in recent years. Compared to conventional operating devices, CVC was welcomed by clinicians because of the advantages of easy use, less damage to the body and convenient fixation pro-cess. We came across a patient with severe acute pancreatitis (SAP) who developed cardiac arrest due to thoracic cavity massive bleeding 24 h after thoracocentesis with CVC. Thoracotomy surgery was carried out immediately, which confirmed an intercostal artery injury. The patient was discharged from hospital without any neurological complications two months later. Here we report this case to remind all the emergency department and ICU physicians to pay more attention to the complication of thoracic cavity bleeding following thoracocentesis conducted by CVC.
ISSN:1008-1275
DOI:10.3760/j.issn.1008-1275.2017.05.013