Perheentupa Ulla, Kinnunen Ilpo, Kujari Harry, Grénman Reidar, Mäkitie Antti A
Department of Otolaryngology-Head and Neck Surgery, Turku University Central Hospital and University of Turku, Turku, Finland.
Acta Otolaryngol. 2010 May;130(5):637-40. doi: 10.3109/00016480903334437.
Thoracic aortic aneurysm and dissection are rare causes of neurologic symptoms as well as of dysphagia. We report on a 58-year-old otherwise healthy male patient who presented with acute-onset intermittent dysphagia, mild dyspnea, and chest symptoms. He was referred to an emergency ENT unit for a suspected peritonsillar abscess but died of a massive aortic dissection and cardiac tamponation a few hours later. This rare condition is discussed in the differential diagnosis of adult acute-onset dysphagia.
胸主动脉瘤和主动脉夹层是导致神经症状以及吞咽困难的罕见病因。我们报告一例58岁的男性患者，他身体健康，出现急性发作的间歇性吞咽困难、轻度呼吸困难和胸部症状。他因疑似扁桃体周围脓肿被转诊至耳鼻喉科急诊，但数小时后死于大面积主动脉夹层和心脏压塞。本文在成人急性发作性吞咽困难的鉴别诊断中讨论了这种罕见疾病。
