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使用氰基丙烯酸正丁酯经导管动脉栓塞术成功治疗双侧支气管动脉破裂所致自发性中纵隔血肿：一例报告

Successful treatment of spontaneous middle mediastinum hematoma due to rupture of bilateral bronchial artery with transcatheter arterial embolization using N-butyl-2-cyanoacrylate: A case report.

作者信息

Masuda Koichi, Takenaga Shinsuke, Yamazoe Shinji, Mogami Takuji, Ojiri Hiroya

机构信息

Department of Radiology, Tokyo Dental College Ichikawa General Hospital, 5-11-13, Sugano, Ichikawa-shi, Tokyo, 272-8513, Japan.

Department of Radiology, The Jikei University Katsushika Medical Center, Katsushika-ku, Tokyo, Japan.

出版信息

Radiol Case Rep. 2020 May 12;15(7):988-991. doi: 10.1016/j.radcr.2020.04.028. eCollection 2020 Jul.

DOI:10.1016/j.radcr.2020.04.028
PMID:32426082
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7226650/
Abstract

Mediastinum hematoma is often caused by chest trauma, aortic dissection, and tumor. Spontaneous nontraumatic middle mediastinum hematoma is a rare and potentially life-threatening condition. Here, we report the case of a patient who was a 46-year-old experienced sudden chest pain with spontaneous middle mediastinum hematoma caused by rupture of the bilateral bronchial artery. We successfully treated the patient with transcatheter arterial embolization via the bilateral bronchial artery using N-butyl-2-cyanoacrylate.

摘要

纵隔血肿常由胸部创伤、主动脉夹层和肿瘤引起。自发性非创伤性中纵隔血肿是一种罕见且可能危及生命的疾病。在此，我们报告一例46岁患者，该患者突发胸痛，诊断为双侧支气管动脉破裂导致的自发性中纵隔血肿。我们通过使用N-丁基-2-氰基丙烯酸酯经双侧支气管动脉进行经导管动脉栓塞术成功治疗了该患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/362f/7226650/9f3141c4e848/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/362f/7226650/256f3f2381c4/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/362f/7226650/69cc33e024dd/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/362f/7226650/5908edcbb053/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/362f/7226650/9fc6b049861a/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/362f/7226650/9f3141c4e848/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/362f/7226650/256f3f2381c4/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/362f/7226650/69cc33e024dd/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/362f/7226650/5908edcbb053/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/362f/7226650/9fc6b049861a/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/362f/7226650/9f3141c4e848/gr5.jpg

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本文引用的文献

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Int J Surg Case Rep. 2017;39:221-224. doi: 10.1016/j.ijscr.2017.08.040. Epub 2017 Aug 23.
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Spontaneous Atraumatic Mediastinal Hemorrhage: Challenging Management of a Life-Threatening Condition and Literature Review.自发性非创伤性纵隔出血：危及生命状况的挑战性管理及文献综述
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