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病例报告:一例罕见的咯血病例。

Case Report: An unusual case of hemoptysis.

作者信息

Li Zhenhua, Yang Zhen, Ni Jixiang, Tang Siyi, Xia Dongping, Wang Rujuan

机构信息

Department of Respiratory and Critical Care Medicine, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

出版信息

Front Med (Lausanne). 2025 Apr 3;12:1549973. doi: 10.3389/fmed.2025.1549973. eCollection 2025.

Abstract

We present a case of a 61-year-old woman with hemoptysis for 1 week. Two weeks prior, she underwent trigeminal microvascular decompression and repair of cerebrospinal fluid leakage under general anesthesia. Hemoptysis began 1 week after surgery, and examinations indicated intratracheal pseudoaneurysm. A definitive diagnostic evaluation confirmed that the formation of intratracheal pseudoaneurysm was related to tracheal intubation. This case highlights the fatal risk resulting from tracheal intubation. The patient was discovered after endovascular coiling. The utilization of endovascular approaches has gained popularity due to their minimally invasive nature, feasibility, and enhanced safety profile with reduced complications.

摘要

我们报告一例61岁咯血1周的女性病例。两周前,她在全身麻醉下接受了三叉神经微血管减压术和脑脊液漏修补术。咯血在术后1周开始,检查显示气管内假性动脉瘤。明确的诊断评估证实气管内假性动脉瘤的形成与气管插管有关。该病例突出了气管插管导致的致命风险。患者在血管内栓塞术后被发现。由于血管内治疗方法具有微创性、可行性以及安全性提高、并发症减少的特点,其应用越来越广泛。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c73c/12003431/4e8b079bd266/fmed-12-1549973-g001.jpg

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