Bilateral internal jugular vein thrombosis in a patient with severe burn
10.3760/cma.j.issn.1009-2587.2019.03.013
- VernacularTitle: 重度烧伤后并发双侧颈内静脉血栓一例
- Author:
Choulang WU
1
;
Lichun ZHOU
;
Juntai PAN
Author Information
1. Department of Burns, Taizhou Hospital of Zhejiang Province, Linhai 317000, China
- Publication Type:Case Reports
- Keywords:
Burns;
Thrombosis;
Catheterization;
Internal jugular vein
- From:
Chinese Journal of Burns
2019;35(3):227-228
- CountryChina
- Language:Chinese
-
Abstract:
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.