一名患有大量呕血的年轻患者。
A young patient with massive haematemesis.
作者信息
Abdulaziz Salman, Abou-Shala Nabil, Al-Sanouri Ibrahim
机构信息
Adult Critical Care Medicine, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
出版信息
BMJ Case Rep. 2012 Nov 27;2012:bcr2012007192. doi: 10.1136/bcr-2012-007192.
Abstract
Aortoesophageal fistula (AEF) is a rare and life-threatening cause of gastrointestinal haemorrhage which requires emergency surgical intervention. We report a case of aortoesophageal fistula due to previous endovascular stent grafting to the ascending thoracic aorta after previous traumatic injury. The patient presented with catastrophic haematemesis which was managed by repeated deployment of endovascular stent graft and aortic bypass surgery; however, the patient ultimately died due to massive haemoptysis.
摘要
主动脉食管瘘（AEF）是一种罕见且危及生命的胃肠道出血原因，需要紧急手术干预。我们报告一例因既往创伤性损伤后对升主动脉进行血管内支架植入术导致的主动脉食管瘘病例。患者出现灾难性呕血，通过反复部署血管内支架和主动脉旁路手术进行处理；然而，患者最终因大量咯血死亡。
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