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创伤性主动脉瘤:食管管移位征的有效性

Traumatic aortic aneurysm: validity of esophageal tube displacement sign.

作者信息

Gerlock A J, Muhletaler C A, Coulam C M, Hayes P T

出版信息

AJR Am J Roentgenol. 1980 Oct;135(4):713-8. doi: 10.2214/ajr.135.4.713.

DOI:10.2214/ajr.135.4.713
PMID:6778103
Abstract

Displacement of the nasogastric tube to the right as a new sign in the diagnosis of an acute traumatic rupture of the thoracic aorta was reevaluated by statistical analysis in 28 patients (seven patients with a traumatic aortic aneurysm and 21 patients with normal aortas). This new sign was compared with the commonly used chest radiographic findings in 46 patients (eight patients with a traumatic aortic aneurysm and 38 with normal aortas). This study showed that when both the trachea and the nasogastric tube were shifted to the right, as seen on the chest radiograph, the patient had a 96% probability of having an acute rupture of the thoracic aorta.

摘要

通过对28例患者(7例创伤性主动脉瘤患者和21例主动脉正常患者)进行统计分析,重新评估了鼻胃管向右移位作为急性创伤性胸主动脉破裂诊断新体征的情况。将这一新体征与46例患者(8例创伤性主动脉瘤患者和38例主动脉正常患者)常用的胸部X线表现进行了比较。这项研究表明,胸部X线片显示气管和鼻胃管均向右移位时,患者发生急性胸主动脉破裂的概率为96%。

相似文献

1
Traumatic aortic aneurysm: validity of esophageal tube displacement sign.创伤性主动脉瘤:食管管移位征的有效性
AJR Am J Roentgenol. 1980 Oct;135(4):713-8. doi: 10.2214/ajr.135.4.713.
2
A new radiographic sign of acute traumatic rupture of the thoracic aorta: displacement of the nasogastric tube to the right.胸主动脉急性创伤性破裂的一种新的影像学征象:鼻胃管向右移位。
Radiology. 1977 Dec;125(3):603-8. doi: 10.1148/125.3.603.
3
Nasogastric tube displacement in acute traumatic rupture of the thoracic aorta: a postmortem study.胸主动脉急性创伤性破裂时鼻胃管移位:一项尸检研究
AJR Am J Roentgenol. 1982 May;138(5):821-3. doi: 10.2214/ajr.138.5.821.
4
Plain-film criteria for excluding aortic rupture in blunt chest trauma.钝性胸部创伤中排除主动脉破裂的平片标准。
AJR Am J Roentgenol. 1985 Jan;144(1):19-21. doi: 10.2214/ajr.144.1.19.
5
Chest radiography in acute traumatic rupture of the thoracic aorta.急性创伤性胸主动脉破裂的胸部X线摄影
Acta Radiol. 1988 Jul-Aug;29(4):411-7.
6
Nasogastric tube displacement to the right as a sign of acute traumatic rupture of the thoracic aorta.鼻胃管向右移位作为胸主动脉急性创伤性破裂的体征。
Ann Emerg Med. 1981 Dec;10(12):623-6. doi: 10.1016/s0196-0644(81)80084-4.
7
Radiological case of the month. Post-traumatic pseudoaneurysm of the thoracic aorta.
J Ark Med Soc. 1992 Mar;88(10):531-2.
8
[Surgical treatment of aortic rupture by blunt chest trauma].钝性胸部创伤致主动脉破裂的外科治疗
Kyobu Geka. 1995 Mar;48(3):212-6.
9
Traumatic aortic rupture: an additional roentgenographic sign.创伤性主动脉破裂:一种额外的X线征象。
Ann Thorac Surg. 1977 Jul;24(1):77-9. doi: 10.1016/s0003-4975(10)64576-6.
10
Roentgenogram of the month. Esophageal displacement secondary to blunt chest trauma. Traumatic transection of the descending thoracic aorta.本月X线片。钝性胸部创伤继发食管移位。创伤性胸降主动脉横断。
Chest. 1982 Jan;81(1):99-100. doi: 10.1378/chest.81.1.99.

引用本文的文献

1
Traumatic aortic aneurysm diagnosed by computed tomography angiography in a 22-year-old man presenting with progressive dyspnea and dysphagia.一名22岁男性因进行性呼吸困难和吞咽困难就诊,通过计算机断层扫描血管造影诊断为创伤性主动脉瘤。
Int J Cardiovasc Imaging. 2016 Aug;32(8):1323-4. doi: 10.1007/s10554-016-0907-z. Epub 2016 May 21.
2
Mediastinal emphysema simulating aortic rupture.酷似主动脉破裂的纵隔气肿
J R Soc Med. 1988 Nov;81(11):670-1. doi: 10.1177/014107688808101123.