Dimitri W R
Cardiothoracic Unit, St. Thomas' Hospital, London, UK.
Eur J Cardiothorac Surg. 1987;1(1):55-8. doi: 10.1016/s1010-7940(87)80016-7.
Haemothorax is a well-recognized sequela of chest trauma, ruptured aortic aneurysm, and inadvertent puncture of intrathoracic vessels during cannulation or intercostal chest drain insertions, as well as numerous intrapulmonary, pleural and mediastinal conditions. However, massive idiopathic haemothorax occurring in an otherwise healthy subject is, extremely rare, with only two cases reported so far. We add another case and review the scanty literature for identifiable aetiological and predisposing pathological factors. The pathogenesis is discussed and the management outlined, emphasising the diagnostic and therapeutic value of thoracoscopy.
血胸是胸部创伤、主动脉瘤破裂、插管或肋间胸腔引流管插入过程中意外穿刺胸内血管以及众多肺内、胸膜和纵隔疾病公认的后遗症。然而，在其他方面健康的受试者中发生的大量特发性血胸极为罕见，迄今为止仅报道过两例。我们增加了另一例病例，并查阅了少量文献以确定可能的病因和诱发病理因素。本文讨论了发病机制并概述了治疗方法，强调了胸腔镜检查的诊断和治疗价值。
