Pizon Anthony, Bissell Brad J, Gilmore Nathan
Division of Medical Toxicology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania 15213, USA.
J Emerg Med. 2012 Oct;43(4):625-6. doi: 10.1016/j.jemermed.2010.04.005. Epub 2010 May 26.
A ruptured thoracic aortic aneurysm is a life-threatening condition and can lead to a tension hemothorax.
To describe the presentation and management of a case of a tension hemothorax.
An 84-year-old woman presented in respiratory distress and was found to have a tension hemothorax. The cause was the rupture of an ascending and descending thoracic aortic aneurysm. She was managed with intubation, mechanical ventilation, and chest tube placement with stabilization. Definitive operative repair was deferred due to the patient's comorbidities and wishes of the family.
CONCLUSIONS/SUMMARY: A tension hemothorax can result from an ascending and descending thoracic aneurysm, as this case describes. Emergent therapy is necessary as this is a life-threatening condition.
胸主动脉瘤破裂是一种危及生命的情况，可导致张力性血胸。
描述一例张力性血胸的表现及治疗。
一名84岁女性因呼吸窘迫就诊，被发现患有张力性血胸。病因是升主动脉和降主动脉瘤破裂。对她进行了插管、机械通气和放置胸管以稳定病情的治疗。由于患者的合并症和家属的意愿，推迟了确定性手术修复。
结论/总结：如本病例所述，升主动脉和降主动脉瘤可导致张力性血胸。由于这是一种危及生命的情况，紧急治疗是必要的。
