Severe cervical hematoma following central venous puncture under ultrasound guidance in a patient with acute myeloid leukemia: a rare case report.

IF 2.3 3区医学 Q2 ANESTHESIOLOGY

BMC Anesthesiology Pub Date : 2024-10-28 DOI:10.1186/s12871-024-02782-5

Pinguo Fu, Xiaocou Wang, Chaowei Chen

引用次数: 0

Abstract

We report the case of a 56-year-old male diagnosed with acute myeloid leukemia who developed a severe cervical hematoma following an ultrasound-guided right internal jugular vein catheterization. Despite receiving platelet transfusions prior to the procedure, the patient experienced progressive hematoma enlargement, leading to respiratory distress. Further investigations, including carotid Computed Tomography Angiography (CTA), ruled out arterial injury, but thromboelastography revealed severe coagulation dysfunction. The patient subsequently developed cerebral hemorrhage and died despite intensive care interventions.

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急性髓性白血病患者在超声引导下进行中心静脉穿刺后出现严重颈部血肿：罕见病例报告。

我们报告了一例诊断为急性髓性白血病的 56 岁男性病例，他在超声引导下进行右颈内静脉导管插入术后出现了严重的颈部血肿。尽管患者在术前接受了血小板输注，但血肿仍在逐渐扩大，导致呼吸困难。包括颈动脉计算机断层扫描（CTA）在内的进一步检查排除了动脉损伤的可能性，但血栓弹力成像显示患者存在严重的凝血功能障碍。患者随后出现脑出血，虽经重症监护干预仍不治身亡。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

BMC Anesthesiology ANESTHESIOLOGY-

CiteScore

3.50

自引率

4.50%

发文量

349

审稿时长

>12 weeks

期刊介绍： BMC Anesthesiology is an open access, peer-reviewed journal that considers articles on all aspects of anesthesiology, critical care, perioperative care and pain management, including clinical and experimental research into anesthetic mechanisms, administration and efficacy, technology and monitoring, and associated economic issues.