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产后早期降主动脉壁内血肿合并大量血胸

Massive Hemothorax Occurring with Intramural Hematoma of the Descending Aorta in the Early Postpartum Period.

作者信息

Yun Jeong Hee, Jeon Yeong Jeong, Hong Tae Hee, Byun Joung Hun, Hwang Sang Won, Park Jae Hong

机构信息

Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine.

Department of Thoracic and Cardiovascular Surgery, Changwon Hospital, Gyeongsang National University School of Medicine.

出版信息

Korean J Thorac Cardiovasc Surg. 2016 Apr;49(2):122-5. doi: 10.5090/kjtcs.2016.49.2.122. Epub 2016 Apr 5.

DOI:10.5090/kjtcs.2016.49.2.122
PMID:27066436
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4825915/
Abstract

Postpartum aortic intramural hematoma (IMH) is a rare but potentially lethal condition. We report a case of aortic IMH with massive hemothorax in a postpartum woman. The patient was a 31-year-old woman who had delivered twins by cesarean section. Two days after delivery, she complained of sudden-onset dyspnea. Chest computed tomography revealed a massive left hemothorax. Exploratory thoracotomy was performed, and we found a defect measuring approximately 6 mm in the adventitial layer of the thoracic aorta and an IMH. We repaired the defect primarily, and no more bleeding was observed. The patient was discharged on the 19th postoperative day without any complications.

摘要

产后主动脉壁内血肿（IMH）是一种罕见但可能致命的疾病。我们报告一例产后女性发生主动脉IMH并伴有大量血胸的病例。患者为一名31岁女性，剖宫产分娩双胞胎。分娩后两天，她主诉突发呼吸困难。胸部计算机断层扫描显示大量左侧血胸。进行了开胸探查，我们发现胸主动脉外膜层有一个约6毫米的缺损以及一个壁内血肿。我们对缺损进行了一期修复，未再观察到出血。患者术后第19天出院，无任何并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0224/4825915/2544ad11ba3c/kjtcv-49-122f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0224/4825915/db25a33ed84f/kjtcv-49-122f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0224/4825915/9cf988d57f9c/kjtcv-49-122f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0224/4825915/2544ad11ba3c/kjtcv-49-122f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0224/4825915/db25a33ed84f/kjtcv-49-122f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0224/4825915/9cf988d57f9c/kjtcv-49-122f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0224/4825915/2544ad11ba3c/kjtcv-49-122f3.jpg

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本文引用的文献

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Diagnosis, evaluation, and management of the hypertensive disorders of pregnancy.妊娠高血压疾病的诊断、评估与管理。
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Postpartum aortic dissection.产后主动脉夹层。
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