Baharloo F, Verhelst R, Collard P, Pieters T
Unit of Pneumology, Cliniques Universitaires Saint-Luc, Brussels, Belgium.
Eur Respir J. 1999 Feb;13(2):465-7. doi: 10.1183/09031936.99.13246599.
A 62-yr-old male with a history of high blood pressure was admitted for persistent dyspnoea and a right-sided pleural effusion, complicated by a recent episode of shock. There was no history of trauma and the patient denied any thoracic pain. A chest tube was inserted which released nonclotting bloody fluid. A thoracic computed tomographic scan of the chest revealed an aneurysm of the inferior third of the descending thoracic aorta. The patient underwent a successful prosthetic graft replacement. We emphasize that rupture of aortic aneurysms should be considered in the evaluation of spontaneous haemothorax even if it is right-sided and not associated with pain.
一名62岁有高血压病史的男性因持续性呼吸困难和右侧胸腔积液入院，近期并发休克。无外伤史，患者否认有胸痛。插入胸腔引流管，引出非凝血性血性液体。胸部计算机断层扫描显示降主动脉下三分之一处有动脉瘤。患者成功接受了人工血管置换术。我们强调，即使是右侧自发性血胸且无疼痛，在评估时也应考虑主动脉瘤破裂的可能。
