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酒精性肝硬化患者胸内动脉自发性破裂致纵隔血肿：一例报告

Spontaneous Rupture of the Internal Thoracic Artery Causing a Mediastinal Hematoma in a Patient with Alcoholic Liver Cirrhosis: A Case Report.

作者信息

Park Jae Yang, Kang Eun-Ju, Park Jaehyung

出版信息

J Korean Soc Radiol. 2023 May;84(3):750-756. doi: 10.3348/jksr.2022.0105. Epub 2023 Apr 13.

DOI:10.3348/jksr.2022.0105
PMID:37324984
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10265232/
Abstract

Spontaneous arterial bleeding is uncommon, and a mediastinal hematoma caused by spontaneous rupture of the internal thoracic artery has not been reported previously. Patients with liver cirrhosis or heavy alcohol consumption have a higher risk of hemorrhage than those without cirrhosis or excessive alcohol consumption. We present the case of a 39-year-old female with a history of alcoholic liver cirrhosis, who presented with a large mediastinal hematoma attributable to spontaneous rupture of the internal thoracic artery.

摘要

自发性动脉出血并不常见，此前尚未有因胸廓内动脉自发性破裂导致纵隔血肿的报道。肝硬化患者或大量饮酒者比无肝硬化或无过量饮酒者有更高的出血风险。我们报告一例39岁有酒精性肝硬化病史的女性患者，其因胸廓内动脉自发性破裂出现巨大纵隔血肿。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/307e/10265232/57f2abd914dc/jksr-84-750-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/307e/10265232/57f2abd914dc/jksr-84-750-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/307e/10265232/57f2abd914dc/jksr-84-750-g001.jpg

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本文引用的文献

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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
J Investig Med High Impact Case Rep. 2013 Apr 1;1(2):2324709613484451. doi: 10.1177/2324709613484451. eCollection 2013 Apr-Jun.
2
Alcohol abuse and alcoholic liver cirrhosis leading to spontaneous muscle hematoma: an event fraught with danger.酒精滥用和酒精性肝硬化导致自发性肌肉血肿：一个充满危险的事件。
Case Rep Gastroenterol. 2015 Apr 17;9(1):93-100. doi: 10.1159/000381305. eCollection 2015 Jan-Apr.
3
Coil embolization for spontaneous rupture of the left internal mammary artery secondary to lupus vasculitis.
狼疮性血管炎继发左乳内动脉自发性破裂的弹簧圈栓塞治疗
J Am Coll Cardiol. 2014 Jan 28;63(3):290. doi: 10.1016/j.jacc.2013.08.1649. Epub 2013 Nov 13.
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Spontaneous rupture of the lateral thoracic artery in patients with liver cirrhosis.肝硬化患者胸外侧动脉自发性破裂
Korean J Intern Med. 2008 Sep;23(3):152-5. doi: 10.3904/kjim.2008.23.3.152.
8
Clinical aspects of bleeding complications in cirrhotic patients.
Blood Coagul Fibrinolysis. 2000 Apr;11 Suppl 1:S75-9. doi: 10.1097/00001721-200004001-00015.