表现为黑色胸腔积液的博赫哈夫综合征：一例报告。
Boerhaave syndrome presenting black pleural effusion: A case report.
作者信息
Tanaka Takaaki, Ikeuchi Ryosuke, Hisamatsu Kazuya, Mizuno Daisuke, Koyanagi Taisaku, Morihiro Toshiaki, Kurosaki Takeshi, Uno Futoshi, Wada Sae, Tanaka Hisaaki, Tsugeno Hirofumi, Ozaki Shinji, Ishizaki Masahiro, Nishi Hideyuki, Fujimoto Nobukazu
机构信息
Department of Medical Oncology, Okayama Rosai Hospital, 1-10-25 Chikkomidorimachi, Okayama, 7028055, Japan.
Department of Surgery, Okayama Rosai Hospital, 1-10-25 Chikkomidorimachi, Okayama, 7028055, Japan.
出版信息
Respir Med Case Rep. 2022 Nov 12;40:101781. doi: 10.1016/j.rmcr.2022.101781. eCollection 2022.
A 55-year-old man experienced nausea and vomiting after brushing his teeth. He experienced back pain after this episode and visited our emergency department. Chest computed tomography (CT) images revealed moderate pleural fluid accumulation and mild left pneumothorax. Thoracentesis showed black pleural effusion. Thoracic drainage included food debris with black pleural effusion, and gastroscopy revealed food debris and perforation of the lower esophagus. Esophageal perforation was surgically repaired using omental implantation and pleuroclysis. Given the high mortality rate associated with black pleural effusion, prompt diagnostic procedures and corresponding management are essential.
一名55岁男性在刷牙后出现恶心和呕吐。在此发作后他又出现背痛，遂前往我院急诊科就诊。胸部计算机断层扫描（CT）图像显示中等量胸腔积液和轻度左侧气胸。胸腔穿刺抽出黑色胸腔积液。胸腔引流引出含黑色胸腔积液的食物残渣，胃镜检查发现食物残渣和食管下段穿孔。采用网膜植入和胸膜粘连术对食管穿孔进行了手术修复。鉴于黑色胸腔积液相关的高死亡率，及时的诊断程序和相应的处理至关重要。
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