Hollander J E, Quick G
Department of Emergency Medicine, Jacobi Hospital, Albert Einstein College of Medicine, Bronx, New York.
Am J Med. 1991 Sep;91(3):279-87. doi: 10.1016/0002-9343(91)90129-l.
Aortoesophageal fistula (AEF) is a relatively rare but life-threatening cause of upper gastro-intestinal bleeding. The clinical characteristics of AEF are so unique that a presumptive bedside diagnosis can be made at the time of presentation. In the past decade, surgical management has improved to the point that cure is now possible. For these reasons, we have reviewed the literature. We summarize our findings with respect to the etiology and clinical characteristics of AEF. Further, we discuss the diagnostic modalities that may be used to confirm the diagnosis, and the therapeutic modalities available to slow the hemorrhage, so as to allow time to correct the anatomic defect.
主动脉食管瘘（AEF）是上消化道出血相对罕见但危及生命的病因。AEF的临床特征非常独特，以至于在就诊时即可作出初步床旁诊断。在过去十年中，外科治疗已取得进展，现在有可能治愈。基于这些原因，我们对文献进行了回顾。我们总结了关于AEF病因和临床特征的研究结果。此外，我们讨论了可用于确诊的诊断方法以及可用于减缓出血以便有时间纠正解剖缺陷的治疗方法。
