Hsu Derek Y, Gabel Eilon
From the Department of Anesthesiology, Ronald Reagan UCLA Medical Center, Los Angeles, California.
A A Pract. 2018 Jul 1;11(1):14-15. doi: 10.1213/XAA.0000000000000721.
This is the first account of significant aortic injury during diagnostic rigid esophagoscopy in an adult with an esophageal stricture. We describe the resultant hemothorax and hemodynamic collapse and the successful treatment with massive volume resuscitation, vasopressors, and timely surgical intervention including thoracic endovascular aortic repair. We discuss the importance of rapid diagnosis, relevant anatomy, treatment modalities, and communication as cornerstones for learning.
这是首例关于成人食管狭窄患者在诊断性硬质食管镜检查期间发生严重主动脉损伤的报告。我们描述了由此导致的血胸和血流动力学崩溃，以及通过大量液体复苏、血管升压药和包括胸主动脉腔内修复术在内的及时手术干预成功治疗的过程。我们讨论了快速诊断、相关解剖结构、治疗方式以及沟通作为学习基石的重要性。
