Carney M, Ravin C E
Chest. 1979 Apr;75(4):520-2. doi: 10.1378/chest.75.4.520.
Two cases of intercostal artery laceration following thoracocentesis are reported. Subsequent analysis of 29 thoracic aortograms demonstrated a definite trend toward increasing tortuosity of intercostal arteries with advancing age. Consequently, the amount of space available for safe insertion of the thoracocentesis needle tends to decrease with advancing age. As a result, elderly patients are more prone to intercostal artery laceration during thoracocentesis, and careful attention must be paid to the proper technique for performing this examination in such patients.
本文报告了两例胸腔穿刺术后肋间动脉撕裂的病例。随后对29例胸主动脉造影的分析表明，随着年龄的增长，肋间动脉的迂曲度有明显增加的趋势。因此，随着年龄的增长，胸腔穿刺针安全插入的可用空间量往往会减少。结果，老年患者在胸腔穿刺过程中更容易发生肋间动脉撕裂，对此类患者进行此项检查时必须密切注意正确的操作技术。
