Templeton P A, Vainright J R, Rodriguez A, Diaconis J N
Department of Radiology, University of Maryland, Baltimore 21201.
Chest. 1988 Apr;93(4):828-30. doi: 10.1378/chest.93.4.828.
The usual causes of hemomediastinum and hemothorax include chest trauma, rupture of an aortic aneurysm or aortic dissection. We report two patients who presented with a clinical picture of aortic dissection. In both patients, the chest radiograph revealed anterior mediastinal masses. Aortic dissection could not be excluded on the basis of the chest radiograph, and additional investigation by thoracic aortography was performed. The tumors had undergone spontaneous bleeding into the mediastinum and the pleural space, presumably causing the patients pain. The interesting and unusual causes of spontaneous hemomediastinum and hemothorax are reviewed.
纵隔积血和血胸的常见病因包括胸部创伤、主动脉瘤破裂或主动脉夹层。我们报告了两名表现为主动脉夹层临床症状的患者。两名患者的胸部X光片均显示前纵隔肿块。根据胸部X光片不能排除主动脉夹层，因此进行了胸部主动脉造影的进一步检查。肿瘤自发性地向纵隔和胸腔内出血，大概是导致患者疼痛的原因。本文对自发性纵隔积血和血胸的有趣且不常见的病因进行了综述。
