Misthos Panagiotis, Sepsas Evangelos, Athanassiadi Kalliopi, Skottis Ioannis
First Department of Thoracic Surgery, Sotiria General Hospital for Chest Diseases, 7 P. Dimitrakopoulou Street, 11141 Athens, Greece.
Surg Today. 2006;36(1):82-4. doi: 10.1007/s00595-005-3103-7.
Sudden life-threatening hemorrhage caused by erosion of the wall of a thoracic blood vessel such as the aorta, pulmonary artery, or pulmonary vein, in the late postoperative period is extremely rare and presents a challenging emergency. We report the cases of two patients whose only clinical manifestation was a hemorrhagic cutaneous chest wall fistula. Both patients were treated by emergency surgery. The diagnosis and management of this clinical entity requires a high index of suspicion and innovative therapeutic solutions.
术后晚期因胸段血管（如主动脉、肺动脉或肺静脉）壁侵蚀导致的危及生命的大出血极为罕见，是一个具有挑战性的急症。我们报告了两例患者，其唯一的临床表现是出血性胸壁皮肤瘘。两名患者均接受了急诊手术治疗。对这一临床病症的诊断和处理需要高度的怀疑意识和创新性的治疗方案。
