Yang Jinbo, Li Li, Li Rujuan, Zhang Xiangjian
Department of Neurology, Xingtai Ninth Hospital, Julu, Hebei, China.
Department of Neurology, Hebei Key Laboratory of Vascular Homeostasis, Hebei Collaborative Innovation Center for Cardio-Cerebrovascular Disease, Central Laboratory, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
CJC Open. 2019 Jun 7;1(4):209-212. doi: 10.1016/j.cjco.2019.05.004. eCollection 2019 Jul.
We report a case with rare signs of subcutaneous hematoma, ecchymoses, and pleural effusion resulting from rupture of a thoracic aneurysm and aortic dissection. An 81-year-old woman had a history of aneurysm for 4 years. Ruptured chronic thoracic aortic dissection was diagnosed in the patient. After 2 weeks of medical therapy, the hematoma in the chest wall was absorbed, the pleural effusion almost disappeared, and the patient's general condition improved. At 6 months follow-up, the patient had no chest discomfort. This case highlights an uncommon sign of ruptured thoracic aneurysm and aortic dissection that clinicians should be aware of.
我们报告一例因胸主动脉瘤破裂和主动脉夹层导致皮下血肿、瘀斑及胸腔积液等罕见体征的病例。一名81岁女性有4年动脉瘤病史。该患者被诊断为慢性胸主动脉夹层破裂。经过2周的药物治疗，胸壁血肿吸收，胸腔积液几乎消失，患者一般状况改善。在6个月的随访中，患者无胸部不适。该病例突出了胸主动脉瘤破裂和主动脉夹层的一种不常见体征，临床医生应予以关注。
