Bai-Qiang Li,Bo Ye,Fa-Xi Chen,Lu Ke,Zhi-Hui Tong,Jie-Shou Li,Wei-Qin Li.[J].Chin J Traumatol,2017,20(5):305-307. [doi]
Intercostal artery damage and massive hemothorax after thoracocentesis bycentral venous catheter: A case report
  
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KeyWord: Central venous cathetersThoracentesisHemothorax
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Author NameAffiliation
Bai-Qiang Li Department of General Surgery, SICU, Jinling Hospital, Medical School of Nanjing University, Nanjing 210002, China 
Bo Ye Department of General Surgery, SICU, Jinling Hospital, Medical School of Nanjing University, Nanjing 210003, China 
Fa-Xi Chen Department of General Surgery, SICU, Jinling Hospital, Medical School of Nanjing University, Nanjing 210004, China 
Lu Ke Department of General Surgery, SICU, Jinling Hospital, Medical School of Nanjing University, Nanjing 210005, China 
Zhi-Hui Tong Department of General Surgery, SICU, Jinling Hospital, Medical School of Nanjing University, Nanjing 210006, China 
Jie-Shou Li Department of General Surgery, SICU, Jinling Hospital, Medical School of Nanjing University, Nanjing 210007, China 
Wei-Qin Li Department of General Surgery, SICU, Jinling Hospital, Medical School of Nanjing University, Nanjing 210008, China 
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Abstract:
      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 process. 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.
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