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自发性血胸的病因及处理

Etiology and management of spontaneous haemothorax.

作者信息

Patrini Davide, Panagiotopoulos Nikolaos, Pararajasingham Jonathan, Gvinianidze Lasha, Iqbal Yassir, Lawrence David R

机构信息

Department of Cardiothoracic Surgery, University College London Hospitals (UCLH), London W1G 8PH, UK.

出版信息

J Thorac Dis. 2015 Mar;7(3):520-6. doi: 10.3978/j.issn.2072-1439.2014.12.50.

Abstract

Spontaneous haemothorax (SH) is a subcategory of haemothorax that involves the accumulation of blood within the pleural space in the abscence of trauma or other causes. The clinical presentation is variable and includes a rapid progression of symptoms of chest pain and dyspnea that can be life threatening when hemodynamic instability and hypovolemic shock occurs. Despite haemothorax, SH is much less common with data limited to case reports and case series. A literature review has been performed to identify and summarise all potentials causes leading to this clinical entity.

摘要

自发性血胸(SH)是血胸的一个亚类,指在无创伤或其他病因的情况下,血液在胸腔内积聚。其临床表现多样,包括胸痛和呼吸困难症状迅速进展,当出现血流动力学不稳定和低血容量性休克时可危及生命。尽管血胸较为常见,但SH却少得多,相关数据仅限于病例报告和病例系列。已进行文献综述以识别和总结导致这一临床病症的所有潜在病因。

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