Department of Radiology Thoracic and Abdominal Imaging, University of Miami Miller School of Medicine, Jackson Memorial Hospital, Miami, FL 33136, USA.
Am J Emerg Med. 2013 Apr;31(4):755.e5-7. doi: 10.1016/j.ajem.2012.11.009. Epub 2013 Feb 8.
Acute aortic syndrome is a spectrum of diseases that have similar presentation and clinical background and include aortic dissection, intramural hematoma, and penetrating atherosclerotic ulcer. Presented here is an 82-year-old woman with a medical history of diabetes, hypertension, nephrectomy, and chronic renal failure who complained of sudden abdominal pain radiating to epigastrium and back. At presentation, the patient was hemodynamically stable with a hemoglobin level of 10.2 and white blood cell count of 12. Chest x-ray showed a right pleural effusion and lung opacity with interstitial pulmonary edema. Computed tomography demonstrated an aortic penetrating atherosclerotic ulcer that ruptured into the right pleural space resulting in right hemothorax. A percutaneous endostent was placed with subsequent discharge of the patient 10 days after admission.
急性主动脉综合征是一组具有相似表现和临床背景的疾病，包括主动脉夹层、主动脉壁内血肿和穿透性粥样硬化性溃疡。本文介绍了一位 82 岁的女性患者，她有糖尿病、高血压、肾切除术和慢性肾衰竭病史，主诉突发腹痛放射至上腹部和背部。就诊时，患者血流动力学稳定，血红蛋白水平为 10.2，白细胞计数为 12。胸部 X 线片显示右侧胸腔积液和肺不张伴有间质性肺水肿。计算机断层扫描显示主动脉穿透性粥样硬化性溃疡破裂进入右侧胸腔，导致右侧血胸。患者接受了经皮腔内支架置入术，入院 10 天后出院。
