Massive hemothorax following internal jugular vein catheterization under ultrasound guidance:A case report  

作　　者：Hyun Kang Soo Young Cho Eun Ha Suk Wan Ju Joon Yong Choi 

机构地区：[1]Department of Anesthesiology and Pain Medicine,Kwangju Christian Hospital,Gwangju 61661,South Korea

出　　处：《World Journal of Clinical Cases》2022年第17期5776-5782,共7页世界临床病例杂志

摘　　要：BACKGROUND Hemothorax is a rare but life-threatening complication of central venous catheterization.Recent reports suggest that ultrasound guidance may reduce complications however,it does not guarantee safety CASE SUMMARY A 75-year-old male patient was admitted for laparoscopic radical nephrectomy.Under ultrasound guidance,right internal jugular vein catheterization was successfully achieved after failure to aspirate blood from the catheter in the first attempt.Sudden hypotension developed after surgical positioning and persisted until the end of the operation,lasting for about 4 h.In the recovery room,a massive hemothorax was identified on chest radiography and computed tomography.The patient recovered following chest tube drainage of 1.6 L blood.CONCLUSION Hemothorax must be suspected when unexplained hemodynamic instability develops after central venous catheterization despite ultrasound guidance.So the proper use of ultrasound is important.

关 键 词：Central venous catheterization HEMOTHORAX Ultrasound guidance Internal jugular vein Case report 

分 类 号：R699.2[医药卫生—泌尿科学]