Lancashire Cardiac Centre, Victoria Hospital, Whinney Heys Road, Blackpool, Lancashire, United Kingdom.
Ann Thorac Surg. 2010 Jun;89(6):2014-6. doi: 10.1016/j.athoracsur.2009.10.009.
We present the case of a 78-year-old man with a past history of nephrectomy for renal cell carcinoma who was brought to the emergency room in hypovolemic shock after suddenly collapsing at home. A chest roentgenogram taken on admission showed a large pleural effusion on the right with a mediastinal shift to the left. A contrast computed tomographic scan of his chest excluded aortic dissection. An emergency right thoracotomy was performed, which revealed a chest wall tumor that was bleeding profusely. The tumor was biopsied after the bleeding was controlled. The histologic report revealed metastatic renal cell carcinoma, which is a rare cause for a spontaneous massive hemothorax.
我们报告一例 78 岁男性病例，既往因肾细胞癌行肾切除术，因在家中突然晕倒导致低血容量性休克被送入急诊室。入院时拍摄的胸部 X 光片显示右侧大量胸腔积液，纵隔向左侧移位。胸部对比 CT 扫描排除了主动脉夹层。紧急进行了右侧开胸手术，发现一个胸部肿瘤在大量出血。在控制出血后对肿瘤进行了活检。组织学报告显示为转移性肾细胞癌，这是自发性大量血胸的罕见原因。
