摘要笔者单位于2016年11月28日收治1例火焰烧伤总面积为88％体表总面积的33岁男性患者.救治过程中,因输液需要,反复行中心静脉穿刺置管,某次置管前床旁超声检查偶然见双侧颈内静脉血栓形成.通过避免双侧颈内静脉再次穿刺置管、使用低分子肝素抗凝、植皮封闭创面、指导患者功能锻炼等,最终使血栓消失.伤后3个月患者治愈出院.

abstractsA 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.