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喉压迫和喘鸣作为胸主动脉瘤破裂的首发症状。两例报告。

Laryngeal compression and stridor as the presenting feature of ruptured thoracic aortic aneurysm. Report of two cases.

作者信息

Lindsay D C, Smith M C, McQuillan P J, Jordan M B

机构信息

Department of Medicine, Royal Victoria Infirmary, Newcastle upon Tyne, U.K.

出版信息

J Cardiovasc Surg (Torino). 1989 Sep-Oct;30(5):864-6.

PMID:2808511
Abstract

Two patients are reported in whom rupture of a thoracic aortic aneurysm presented with neck swelling and progressive stridor. Stridor occurred due to compression of the larynx by haematoma tracking up from the mediastinum. The presentation of thoracic aortic aneurysms and of rupture of thoracic aortic aneurysms are discussed with particular reference to mechanisms of cardiovascular and respiratory manifestations. The importance of early control of the airway is emphasised if there is to be any hope of survival from acute rupture.

摘要

报告了两名患者,他们的胸主动脉瘤破裂表现为颈部肿胀和进行性喘鸣。喘鸣是由于血肿从纵隔向上蔓延压迫喉部所致。本文讨论了胸主动脉瘤及其破裂的表现,特别提及了心血管和呼吸表现的机制。强调了如果要从急性破裂中存活下来,早期控制气道的重要性。

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Laryngeal compression and stridor as the presenting feature of ruptured thoracic aortic aneurysm. Report of two cases.喉压迫和喘鸣作为胸主动脉瘤破裂的首发症状。两例报告。
J Cardiovasc Surg (Torino). 1989 Sep-Oct;30(5):864-6.
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Heart Views. 2018 Oct-Dec;19(4):146-149. doi: 10.4103/HEARTVIEWS.HEARTVIEWS_62_18.
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Tracheal stenosis due to bilateral arterial aneurysms.双侧动脉动脉瘤导致的气管狭窄。
Thorax. 1994 Feb;49(2):183-4. doi: 10.1136/thx.49.2.183.