Wu C L, Zhou L C, Pan J T
Department of Burns, Taizhou Hospital of Zhejiang Province, Linhai 317000, China.
Zhonghua Shao Shang Za Zhi. 2019 Mar 20;35(3):227-228. doi: 10.3760/cma.j.issn.1009-2587.2019.03.013.
A 33 years old male patient who suffered from a flame burn of 88% total body surface area was admitted to our hospital on November 28th, 2016. During his hospitalization, we repeatedly performed central vein catheterization in internal jugular veins, subclavian veins, or femoral veins for fluid transfusion. We incidentally found bilateral internal jugular vein thrombosis by performing a point-of-care ultrasound examination before catheterizing sometime. We treated the patient by avoiding catheterization in the affected internal jugular veins, anticoagulating with low molecular weight heparin, closing the wounds with skin autografting, and guiding the patient to practice functional exercise. The thrombus disappeared in the end. The patient was cured and discharged 3 months post burn.
一名33岁男性患者，全身88%体表面积被火焰烧伤，于2016年11月28日入住我院。住院期间，我们多次在内颈静脉、锁骨下静脉或股静脉进行中心静脉置管以输液。有时在置管前进行床旁超声检查时偶然发现双侧颈内静脉血栓形成。我们通过避免在患侧颈内静脉置管、用低分子肝素抗凝、自体皮肤移植闭合伤口以及指导患者进行功能锻炼来治疗该患者。血栓最终消失。患者烧伤后3个月治愈出院。
