17 October 2025
: Case report 
Exploring Extrapleural Hematoma After Ultrasound-Guided Paravertebral Block: A Clinical Case Report
Unusual clinical course, Challenging differential diagnosis, Unusual or unexpected effect of treatment, Diagnostic / therapeutic accidents
Qiang Fu ABDE 1, Na Li B 1, Li Sun B 1, Yushuang Yin B 1, Lingling Wang B 1, Wei Gao BE 1*, Duozhi Wu BE 1DOI: 10.12659/AJCR.948406
Am J Case Rep 2025; 26:e948406
Table 1 Continuous perioperative monitoring of hemodynamic and coagulation parameters.
| HR (bpm) | MAP (mmHg) | PLT (×109/L) | HGB (g/L) | INR | PT (s) | APTT (s) | TT (s) | FIB (g/L) | D-Dimer (μg/ml) | FDPs (μg/ml) | |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Pre-operation | 60 | 98 | 168 | 172 | 10.4 | 12.2 | 30.2 | 17.9 | 2.35 | ||
| 1 operation | 58 | 105 | |||||||||
| 1 operation | 78 | 107 | |||||||||
| 1 day after first operation | 70 | 100 | 154 | 152 | 1.2 | 14 | 31.6 | 17.5 | 2.59 | ||
| 1 day after first operation | 72 | ||||||||||
| 2 operation | 75 | 157 | 76 | 1.23 | 14.3 | 40.8 | 16.5 | 4.04 | |||
| 2 operation | 92 | 60 | 95 | 73 | 1.25 | 14.5 | 42.4 | 17.3 | 3.02 | 0.59 | 6.71 |
| 3 day after first operation | 80 | 106 | 62 | 127 | 1.29 | 15.9 | 42.3 | 14.7 | 3.39 | 18.1 | |
| 3 day after first operation | 93 | 100 | 64 | 116 | 1.17 | 13.6 | 42.6 | 18.3 | 3.27 | 13.18 | |
| 3 day after first operation | 81 | 92 | 1.31 | 16.1 | 43.1 | 15.7 | 2.66 | 17.39 | 61.54 | ||
| 4 day after first operation | 95 | 121 | 93 | 104 | 10.9 | 12.8 | 40.7 | 20.9 | 2.36 | 5.24 | 75.41 |
| 4 day after first operation | 92 | 97 | |||||||||
| 5 day after first operation | 91 | 98 | 115 | 101 | 1.06 | 12.5 | 43.3 | 22.3 | 20.3 | 56.37 | 150 |
| 5 day after first operation | 96 | 113 | 1.07 | 12.6 | 34.7 | 21 | 2.15 | 10.63 | 101.64 | ||
| 6 day after first operation | 84 | 107 | 112 | 115 | |||||||
| 6 day after first operation | 99 | 116 | |||||||||
| 7 day after first operation | 81 | 100 | 125 | 119 | 1.13 | 13.2 | 36.7 | 17.4 | 3.02 | 25.62 | 99.55 |
| 7 day after first operation | 92 | 105 | |||||||||
| Normal range | 60–100 | 70–100 | 125–320 | 130–175 | 0.8–1.2 | 11.5–14.5 | 20–40 | 11–14 | 2–4 | <0.5 | 0–5 |
| The table depicts the serial trends in hemodynamic monitoring and coagulation indices from the preoperative baseline through the first postoperative week. Values are presented as single measurements taken at the indicated time-points. HR – heart rate; MAP – mean arterial pressure; PLT – platelet count; HGB – hemoglobin; INR – international normalized ratio; PT – prothrombin time; APTT – activated partial thromboplastin time; TT – thrombin time; FIB - fibrinogen concentration; D-Dimer – D-Dimer concentration; FDPs – fibrin degradation products concentration. | |||||||||||