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以左侧血性胸腔积液为表现的主动脉弓及降主动脉夹层动脉瘤。

Dissecting aneurysm of arch and descending thoracic aorta presenting as a left sided hemorrhagic pleural effusion.

作者信息

Shamim Shelley, Thakur Sumitra Basu, Sengupta Amitava, Bhattacharyya Sujit Kumar, Sit Niranjan

机构信息

Department of Chest Medicine, Nil Ratan Sirkar Medical College and Hospital, Kolkata, West Bengal, India.

出版信息

Lung India. 2010 Oct;27(4):244-6. doi: 10.4103/0970-2113.71963.

DOI:10.4103/0970-2113.71963
PMID:21139725
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2988179/
Abstract

The most common cause of massive hemorrhagic effusion is malignancy. Herein we present a case of dissecting aneurysm of descending thoracic aorta presenting initially with shortness of breath due to left sided massive pleural effusion. Effusion was hemorrhagic in nature with high hematocrit value. CT scan of thorax with CT angiogram was done and that revealed the diagnosis.

摘要

大量出血性胸腔积液最常见的原因是恶性肿瘤。在此，我们报告一例降主动脉夹层动脉瘤病例，最初表现为因左侧大量胸腔积液导致的呼吸急促。胸腔积液为血性，血细胞比容值高。进行了胸部CT扫描及CT血管造影，从而明确了诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f27/2988179/bdf3d8f89cf0/LI-27-244-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f27/2988179/4e17a1382881/LI-27-244-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f27/2988179/6f9a9bf7eed6/LI-27-244-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f27/2988179/bdf3d8f89cf0/LI-27-244-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f27/2988179/4e17a1382881/LI-27-244-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f27/2988179/6f9a9bf7eed6/LI-27-244-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f27/2988179/bdf3d8f89cf0/LI-27-244-g003.jpg

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本文引用的文献

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Descending thoracic aortic aneurysm presenting as left sided hemorrhagic pleural effusion.降主动脉瘤表现为左侧血性胸腔积液。
J Assoc Physicians India. 2007 Apr;55:297-300.
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Chest. 1999 Nov;116(5):1478-80. doi: 10.1378/chest.116.5.1478.
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Left pleural hemorrhagic effusion. A presenting sign of thoracic aortic dissecting aneurysm.
Chest. 1994 Aug;106(2):636-8. doi: 10.1378/chest.106.2.636.
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Management and long-term outcome of aortic dissection.主动脉夹层的管理与长期预后
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