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主动脉对食管的压迫。

Compression of the oesophagus by the aorta.

作者信息

McMillan I K, Hyde I

出版信息

Thorax. 1969 Jan;24(1):32-8. doi: 10.1136/thx.24.1.32.

DOI:10.1136/thx.24.1.32
PMID:5763508
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC471918/
Abstract

Compression of the lower dorsal oesophagus by the aorta in elderly women sufficient to cause dysphagia has not received the attention it deserves. It is not a rare condition. The reasons for its neglect are probably two-fold: (1) the degree of dysphagia is often only slight or moderate, and (2) misdiagnosis. Occasionally, the dysphagia is serious and a threat to life. The clinical and radiological features are here described and a rational operative treatment for the severe cases is proposed. Such operative intervention does not seem to have been described previously.

摘要

老年女性中,降主动脉对食管下段的压迫足以导致吞咽困难,但这一情况并未得到应有的关注。它并非罕见病症。被忽视的原因可能有两方面:(1)吞咽困难程度通常仅为轻度或中度;(2)存在误诊情况。偶尔,吞咽困难会很严重,甚至危及生命。本文描述了其临床和放射学特征,并针对严重病例提出了合理的手术治疗方案。此前似乎尚未有人描述过这种手术干预方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9065/471918/355b48934ddc/thorax00103-0041-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9065/471918/929427adb18c/thorax00103-0037-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9065/471918/490522cf94ee/thorax00103-0037-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9065/471918/64372fd76bec/thorax00103-0038-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9065/471918/411732b8f2f8/thorax00103-0038-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9065/471918/972350a07654/thorax00103-0038-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9065/471918/2bb5993d4997/thorax00103-0039-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9065/471918/fc6bff4b4e53/thorax00103-0039-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9065/471918/cd0dcad932f5/thorax00103-0039-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9065/471918/ebbe8a675cc8/thorax00103-0040-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9065/471918/f667c6f0b39f/thorax00103-0040-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9065/471918/ac0b395fa839/thorax00103-0040-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9065/471918/355b48934ddc/thorax00103-0041-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9065/471918/929427adb18c/thorax00103-0037-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9065/471918/490522cf94ee/thorax00103-0037-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9065/471918/64372fd76bec/thorax00103-0038-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9065/471918/411732b8f2f8/thorax00103-0038-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9065/471918/972350a07654/thorax00103-0038-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9065/471918/2bb5993d4997/thorax00103-0039-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9065/471918/fc6bff4b4e53/thorax00103-0039-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9065/471918/cd0dcad932f5/thorax00103-0039-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9065/471918/ebbe8a675cc8/thorax00103-0040-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9065/471918/f667c6f0b39f/thorax00103-0040-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9065/471918/ac0b395fa839/thorax00103-0040-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9065/471918/355b48934ddc/thorax00103-0041-a.jpg

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引用本文的文献

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Aortic compression of the esophagus: A case report and literature review.主动脉对食管的压迫:一例病例报告及文献综述。
Acta Radiol Open. 2021 Sep 28;10(9):20584601211043256. doi: 10.1177/20584601211043256. eCollection 2021 Sep.
2
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Endoscopic, radiographic, and manometric findings associated with cardiovascular dysphagia.

本文引用的文献

1
Dysphagia associated with sclerosis of the aorta.
Br J Radiol. 1955 Apr;28(328):184-90. doi: 10.1259/0007-1285-28-328-184.
与心血管性吞咽困难相关的内镜、影像学及测压检查结果。
Dig Dis Sci. 1995 Jan;40(1):166-76. doi: 10.1007/BF02063961.
4
Dysphagia aortica.主动脉性吞咽困难
Dig Dis Sci. 1980 Oct;25(10):807-10. doi: 10.1007/BF01345305.
5
Compression of oesophagus by tortuous dilated aorta.迂曲扩张的主动脉对食管的压迫
Br Med J (Clin Res Ed). 1981 Mar 28;282(6269):1032-3. doi: 10.1136/bmj.282.6269.1032-a.
6
Dysphagia aortica. Clinical, radiological, and manometric findings.主动脉性吞咽困难。临床、放射学及测压结果
Dig Dis Sci. 1986 Apr;31(4):379-84. doi: 10.1007/BF01311673.