Jougon J, Zénnaro O
Service de Chirurgie Thoracique, Université de Bordeaux, Hôpital Xavier-Arnozan, Pessac.
Ann Chir. 1994;48(9):867-9.
A new case of spontaneous cervico-mediastinal hematoma due to parathyroid adenoma is reported. It is a rare complication of parathyroid adenoma. When mediastinal compression with respiratory distress occurs, endotracheal intubation excludes an intrathoracic vascular injury. Laboratory tests reveal a hyperparathyroid syndrome which may disappear after the acute hemorrhage. Whatever is the outcome of the hyperparathyroid syndrome, surgical treatment is required. As far as possible, it should be performed after the acute hemorrhage.
报告了一例因甲状旁腺腺瘤导致的自发性颈纵隔血肿新病例。这是甲状旁腺腺瘤的一种罕见并发症。当出现纵隔压迫并伴有呼吸窘迫时，气管插管可排除胸内血管损伤。实验室检查显示甲状旁腺功能亢进综合征，该综合征可能在急性出血后消失。无论甲状旁腺功能亢进综合征的结果如何，都需要进行手术治疗。应尽可能在急性出血后进行手术。
