Harrison N K, Wilkinson J, O'Donohue J, Hansell D, Sheppard M N, Goldstraw P G, Davison A G, Newman Taylor A J
Royal Brompton National Heart and Lung Hospital, London.
Thorax. 1994 Jun;49(6):618-9. doi: 10.1136/thx.49.6.618.
The case is described of a 36 year old woman who presented with a large left sided haemothorax. A thoracic computed tomographic (CT) scan suggested there was a bony outgrowth arising from the fourth rib. This was resected surgically and found to be an osteochondroma which was surrounded by blood clot. No definite site of bleeding was identified, but it is thought that the tumour may have traumatised the lung, the pericardiacophrenic artery, or the superior pulmonary vein, resulting in life threatening haemorrhage.
本文描述了一名36岁女性,她因左侧大量血胸就诊。胸部计算机断层扫描(CT)显示第四肋骨有骨赘形成。手术切除后发现是一个骨软骨瘤,周围有血凝块。未确定明确的出血部位,但认为肿瘤可能损伤了肺、心包膈动脉或肺上静脉,导致危及生命的出血。