一例伴有曲张的膈静脉破裂的自发性血胸病例。
A Case of Spontaneous Hemothorax with a Ruptured Variceal Phrenic Vein.
作者信息
Lee Juhyun, Lee Sung Kwang, Wi Jinhong, Yoon Yoo Sang, Han Il-Yong, Lee Yang Haeng
机构信息
Department of Thoracic and Cardiovascular Surgery, Inje University Busan Paik Hospital, Inje University College of Medicine, Busan, Korea.
出版信息
J Chest Surg. 2022 Dec 5;55(6):482-484. doi: 10.5090/jcs.22.017. Epub 2022 Aug 31.
Abstract
Spontaneous hemothorax is rare, with limited data available on its etiology and treatment. We report a case of massive spontaneous hemothorax with a ruptured variceal phrenic vein during pregnancy, likely a complication of the Kasai procedure. Despite closed thoracostomy, the patient's symptoms and imaging findings did not improve. Emergent open thoracotomy and bleeding control were performed.
摘要
自发性血胸较为罕见，关于其病因和治疗的可用数据有限。我们报告一例妊娠期间因曲张的膈静脉破裂导致大量自发性血胸的病例，这可能是Kasai手术的一种并发症。尽管进行了闭式胸腔造口术，但患者的症状和影像学表现并未改善。遂进行了急诊开胸手术并控制出血。
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