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表现为不明原因发热的主动脉壁内血肿。

Intramural haematoma of the aorta presenting as fever of unknown origin.

作者信息

Cheng Cheng-Chung, Lin Chih-Yuan, Han Chih-Lu

机构信息

Division of Cardiology, Department of Medicine, Tri-Service General Hospital, Taipei, Taiwan, Republic of China.

出版信息

Acta Cardiol. 2007 Aug;62(4):409-11. doi: 10.2143/AC.62.4.2022286.

DOI:10.2143/AC.62.4.2022286
PMID:17824303
Abstract

The clinical presentation of aortic intramural haematoma resembles aortic dissection in many aspects, but the underlying pathophysiology is quite different. Chronic aortic dissection may present as a febrile disease, but is seldom in aortic intramural haematoma. Here we report a case with aortic intramural haematoma with an initial presentation of febrile disease. The patient underwent surgical repair of the diseased aorta successfully and the fever resolved shortly after the operation.

摘要

主动脉壁内血肿的临床表现在许多方面类似于主动脉夹层，但潜在的病理生理学却大不相同。慢性主动脉夹层可能表现为发热性疾病，但在主动脉壁内血肿中很少见。在此，我们报告一例以发热性疾病为初始表现的主动脉壁内血肿病例。该患者成功接受了病变主动脉的手术修复，术后发热很快消退。

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1
Intramural haematoma of the aorta presenting as fever of unknown origin.表现为不明原因发热的主动脉壁内血肿。
Acta Cardiol. 2007 Aug;62(4):409-11. doi: 10.2143/AC.62.4.2022286.
2
Aortic dissection limited to the ascending aorta mimicking intramural hematoma.局限于升主动脉的主动脉夹层，类似壁内血肿。
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[An unknown cause of prolonged fever: apropos of 6 cases of chronic aortic dissection].[长期发热的不明原因：关于6例慢性主动脉夹层]
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An unusual cause of pyrexia of unknown origin in an 81 year old lady.一位81岁女性不明原因发热的罕见病因。
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Impact of thoracic endovascular aortic repair timing on aortic remodeling in acute type B aortic intramural hematoma.胸主动脉腔内修复术时机对急性 B 型主动脉壁内血肿主动脉重塑的影响。
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Initial medical management in acute type A aortic dissection patients with a thrombosed false lumen in the ascending aorta combining intramural hematoma and retrograde dissection from the descending to the ascending aorta.急性升主动脉A型夹层合并壁内血肿和逆行夹层患者初始的医疗管理，升主动脉内血栓形成的假腔，夹层从降主动脉逆行累及升主动脉。
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引用本文的文献

1
Fever of unknown origin in aortic dissection.主动脉夹层中的不明原因发热。
Z Rheumatol. 2017 May;76(4):364-371. doi: 10.1007/s00393-016-0203-2.
2
Case 3/2016 - 58 Year-Old Hypertensive Male with End-Stage Renal Disease, Aortic Dissection, Fever and Hemoptysis.病例3/2016 - 58岁患有终末期肾病、主动脉夹层、发热和咯血的高血压男性。
Arq Bras Cardiol. 2016 Jul;107(1):71-6. doi: 10.5935/abc.20160108.
3
Slowly progressive and painless thoracic aortic dissection presenting with a persistent Fever in an elderly patient: the usefulness of combined measurement of biochemical parameters.
老年患者中表现为持续发热的缓慢进展性无痛性胸主动脉夹层：生化参数联合检测的作用
Case Rep Med. 2013;2013:498129. doi: 10.1155/2013/498129. Epub 2013 Jun 17.