PDF herunterladen
Pneumologie 2018; 72(04): 313-314
DOI: 10.1055/s-0043-119234
Fallbericht
© Georg Thieme Verlag KG Stuttgart · New York

Schwerer hämorrhagischer Schock bei einem 93-jährigen Patienten nach diagnostischer Pleurapunktion

Severe Hemorrhagic Shock in a 93-Year Old Patient due to a Diagnostic Thoracocentesis
H. Rupprecht
1   Chirurgische Klinik 1, Klinikum Fürth, Fürth
,
H. Dormann
2   Harald Dormann, Zentrale Notaufnahme, Klinikum Fürth
,
K. Gaab
1   Chirurgische Klinik 1, Klinikum Fürth, Fürth
› Institutsangaben
Weitere Informationen

Publikationsverlauf

eingereicht 01. August 2017

akzeptiert nach Revision 04. September 2017

Publikationsdatum:
18. Oktober 2017 (online)

Auch verfügbar auf
   Lizenzen und Reprints

Zusammenfassung

Eine Verletzung der Interkostalgefäße bei einer Pleurapunktion ist eine seltene iatrogene Komplikation und betrifft vor allem geriatrisches Patientengut. Wir berichten über das Notfallmanagement bei einem 93-jährigen Patienten mit schwerem hämorrhagischen Schock nach einer diagnostischen Pleurapunktion.

Abstract

An intercostal artery laceration is a rare iatrogenic complication following thoracocentesis and concerns especially elderly patients. We report a case of a severe hemorrhagic shock in a 93-year old patient due to diagnostic thoracocentesis.

 

  • Literatur

  • 1 Karmy-Jones R, Jurkovich GJ, Nathens AB. et al. Timing of urgent thoracotomy for hemorrhage after trauma. Arch Surg 2001; 136: 513-518
    CrossrefPubMedGoogle Scholar
  • 2 Kiraly L, Schreiber M. Management of the crushed chest. Crit Care Med 2010; 38 : S469-S477
    CrossrefPubMedGoogle Scholar
  • 3 Miettinen S, Hakala T. Traumatic intercostal arterial bleeding controlled with a novel surgical technique: a case report. J Med Case Rep 2012; 25: 318
    PubMedGoogle Scholar
  • 4 Carney M, Ravin CE. Intercostal artery laceration during thoracocentesis: increased risk in elderly patients. Chest 1979; 75: 520-522
    CrossrefPubMedGoogle Scholar
  • 5 Grogan DR, Irwin RS, Channick R. Complications associated with thoracocentesis. A prospective, randomized study comparing three different methods. Arch Intern Med 1990; 150: 873-877
    CrossrefPubMedGoogle Scholar
  • 6 Yacovone ML, Kartan R, Bautista M. Intercostal artery laceration following thoracocentesis. Respir Care 2010; 55: 1495-1498
    PubMedGoogle Scholar
  • 7 Yoneyama H, Arahata M, Temura R. et al. Evaluation of the risk of intercostal artery laceration during thoracentesis in elderly patients by using 3D-CT angiography. Inter Med 2010; 49: 289-292
    CrossrefPubMedGoogle Scholar
  • 8 Feller-Kopman D. Ultrasound-guided thoracentesis. Chest 2006; 129: 1709-1714
    CrossrefPubMedGoogle Scholar
  • 9 Doyle JJ, Hnatiuk OW, Torrington KG. et al. Necessity of routine chest roentgenography after thoracentesis. Arch Intern Med 1996; 124: 816-820
    PubMedGoogle Scholar
  • 10 Lewis FR. Thoracic trauma. Surg Clin North Am 1892; 97-104
    PubMedGoogle Scholar
  • 11 Narvestad JK, Meskinfamfard M, Soreide K. Emergency resuscitative thoracotomy performed in European civilian trauma patients with blunt or penetrating injuries: a systemic review. Eur J Trauma Emerg Surg 2016; 42: 677-685
    CrossrefPubMedGoogle Scholar
  • 12 Rupprecht H. Thoraxtraumatologie. In: Müller MR, Watzka SB. Hrsg. Expertise Thoraxchirurgie. Stuttgart: Thieme Verlag; 2015: 447-462
    Google Scholar
  • 13 Kessel B, Alfici R, Ashkenazi I. et al. Massive hemothorax caused by intercostal artery bleeding: selective embolisation may be an alternative to thoracotomy in selected patients. Thorac Cardiovasc Surg 2004; 52: 234-236
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 14 Rupprecht H, Heppner HJ, Wohlfart C. et al. The geriatric polytrauma: Risk profile and prognostic factors. Ulus Trava Acil Cerrahi Derg 2017; 23: 156-162
    PubMedGoogle Scholar
  • 15 Kamiyoshihara M, Ibe T, Takeyoshi I. The utility of an autologous blood salvage system in emergency thoracotomy for a hemothorax after chest trauma. Gen Thorac Cardiovasc Surg 2008; 56: 222-225
    CrossrefPubMedGoogle Scholar