Abstract：
BACKGROUND: Placement of a central venous catheter (CVC) is a common procedure for spinal surgery and is relatively safe under ultrasound guidance.
METHODS: We report the case of a 56-year-old female who underwent ultrasound-guided placement of an internal jugular vein CVC for fluid replacement during spinal surgery for thoracic vertebral burst compression fracture and multiple rib fractures as a result of a high-altitude fall injury. Hemothorax developed intraoperatively. During a thoracotomy, the tip of the CVC was found within the chest cavity. The presence of chest trauma may impact on clinician\'s appreciation of the potential complications of internal jugular vein CVC placement.
CONCLUSIONS: The present case demonstrates the need for clinical awareness of the potential complications of CVC placement in patients with chest trauma and the need for adequate training in this technique.
METHODS: We report the case of a 56-year-old female who underwent ultrasound-guided placement of an internal jugular vein CVC for fluid replacement during spinal surgery for thoracic vertebral burst compression fracture and multiple rib fractures as a result of a high-altitude fall injury. Hemothorax developed intraoperatively. During a thoracotomy, the tip of the CVC was found within the chest cavity. The presence of chest trauma may impact on clinician\'s appreciation of the potential complications of internal jugular vein CVC placement.
CONCLUSIONS: The present case demonstrates the need for clinical awareness of the potential complications of CVC placement in patients with chest trauma and the need for adequate training in this technique.
摘要：
背景：放置中心静脉导管（CVC）是脊柱外科手术的常用程序，在超声引导下相对安全。
方法：我们报告了一例56岁女性患者，该患者在脊柱手术期间接受了超声引导下放置颈内静脉CVC进行液体置换，治疗胸椎爆裂性压缩骨折和多发性肋骨骨折，原因是高原跌倒损伤。术中出现血胸。在开胸手术中,CVC的尖端位于胸腔内.胸部创伤的存在可能会影响临床医生对颈内静脉CVC放置的潜在并发症的认识。
结论：本病例表明，临床需要意识到胸部创伤患者CVC置入的潜在并发症，并且需要对该技术进行充分的培训。
方法：我们报告了一例56岁女性患者，该患者在脊柱手术期间接受了超声引导下放置颈内静脉CVC进行液体置换，治疗胸椎爆裂性压缩骨折和多发性肋骨骨折，原因是高原跌倒损伤。术中出现血胸。在开胸手术中,CVC的尖端位于胸腔内.胸部创伤的存在可能会影响临床医生对颈内静脉CVC放置的潜在并发症的认识。
结论：本病例表明，临床需要意识到胸部创伤患者CVC置入的潜在并发症，并且需要对该技术进行充分的培训。
