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Aortic dissection presenting as pleural effusion.以胸腔积液为表现的主动脉夹层。
BMJ Case Rep. 2011 Jun 17;2011:bcr0320113956. doi: 10.1136/bcr.03.2011.3956.
2
[Right pleural effusion in aortic dissecting aneurysm].[主动脉夹层动脉瘤合并右侧胸腔积液]
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本文引用的文献

1
Spontaneous retropharyngeal hematoma: an unusual presentation of thoracic aortic dissection.自发性咽后血肿：一种不常见的胸主动脉夹层表现。
J Emerg Med. 2006 Jul;31(1):45-8. doi: 10.1016/j.jemermed.2005.08.010.
2
Clinical significance of pleural effusion in acute aortic dissection.
Chest. 2002 Mar;121(3):825-30. doi: 10.1378/chest.121.3.825.
3
[Right pleural effusion in aortic dissecting aneurysm].[主动脉夹层动脉瘤合并右侧胸腔积液]
Ital Heart J Suppl. 2000 Jun;1(6):808-10.
4
Painless left hemorrhagic pleural effusion: An unusual presentation of dissecting ascending aortic aneurysm.无痛性左侧血性胸腔积液：升主动脉夹层动脉瘤的一种不寻常表现。
Chest. 1999 Nov;116(5):1478-80. doi: 10.1378/chest.116.5.1478.
5
[Left hemothorax, a complication of a dissecting aneurysm of the descending thoracic aorta].左胸腔积血，降主动脉夹层动脉瘤的一种并发症
Rev Mal Respir. 1994;11(1):74-6.
6
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.

以胸腔积液为表现的主动脉夹层。

Aortic dissection presenting as pleural effusion.

作者信息

Somasamudra Pramod, Smith Ed, Tandan Ronja

机构信息

Department of Emergency Medicine, Scarborough General Hospital, Scarborough, UK.

出版信息

BMJ Case Rep. 2011 Jun 17;2011:bcr0320113956. doi: 10.1136/bcr.03.2011.3956.

DOI:10.1136/bcr.03.2011.3956
PMID:22692486
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3118903/
Abstract

Aortic dissection is a life threatening emergency. This case illustrates the unusual way an aortic dissection can present. This patient presented with sharp, left interscapular pain, which subsided after a while and left-sided pleural effusion. Further investigations revealed that this was a case of thoracic aortic dissection with a leak into pleural space. She underwent thoracic endovascular aortic repair with stent graft insertion.

摘要

主动脉夹层是一种危及生命的急症。本病例展示了主动脉夹层一种不寻常的表现方式。该患者表现为尖锐的左肩胛间区疼痛，一段时间后疼痛缓解，并伴有左侧胸腔积液。进一步检查发现这是一例胸主动脉夹层并伴有血液渗漏至胸腔的病例。她接受了带支架移植物植入的胸主动脉腔内修复术。