[一例因异物导致的致命性主动脉-食管瘘：一场可预见的事故？]
[A fatal aorto-esophageal fistula due a foreign body: a foreseeable accident?].
作者信息
Pons J, Demoux R, Campan P, Constant T, Le Treut Y P
机构信息
Service de Chirurgie générale et transplantation hépatique, Hôpital de La Conception, Marseille.
出版信息
Presse Med. 1999 Apr 17;28(15):781-3.
BACKGROUND
The ingestion of foreign bodies is the second most frequent cause of aorto-esophageal fistulization after aneurysms of the thoracic aorta.
CASE REPORT
A 28-year-old man died from catastrophic hematemesis 7 days after ingesting a bone splinter. The CT scan performed 3 days before the fatal event had demonstrated a fistulous formation originating in the aorta.
DISCUSSION
Aorto-esophageal fistulae develop progressively from the esophageal perforation caused by the foreign body. Clinically, there is medical chest pain, followed by arterial hematemesis and finally terminal exsanguination. Diagnosis must be achieved during the free intervals in this triad of often rapidly succeeding signs.
背景
摄入异物是继胸主动脉瘤之后导致主动脉食管瘘形成的第二常见原因。
病例报告
一名28岁男性在摄入一根碎骨7天后死于灾难性的呕血。在致命事件发生前3天进行的CT扫描显示有一个起源于主动脉的瘘管形成。
讨论
主动脉食管瘘由异物导致的食管穿孔逐渐发展而来。临床上，先是出现胸痛，接着是动脉性呕血，最后是致命性失血。必须在这一系列往往迅速相继出现的症状的间歇期做出诊断。
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