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胸主动脉瘤破裂入肺并形成假性动脉瘤:诊断与治疗

Rupture of thoracic aortic aneurysm into the lung with formation of pseudoaneurysm: diagnosis and treatment.

作者信息

Zhao J P, Zhang B G, Ge Y X, Shen Y Z

机构信息

Department of Cardiac Surgery, Tongji Hospital, Tongji Medical University, Wuhan.

出版信息

J Tongji Med Univ. 1993;13(4):244-7. doi: 10.1007/BF02888019.

DOI:10.1007/BF02888019
PMID:8151745
Abstract

Three patients with rupture of thoracic aortic aneurysm into the lung with formation of pseudoaneurysm were admitted to our hospital in 1991, of whom, 2 had ascending aortic aneurysms which ruptured into the right upper pulmonary lobe, and another one had descending aortic aneurysm rupturing into the left upper lobe. All 3 cases were misdiagnosed as having pulmonary carcinoma or mediastinal tumor by the other hospital as well as by us. Correct diagnosis was made by aortography or at exploratory thoracotomy. Our preliminary experiences in the diagnosis and treatment of the disease are presented in this paper.

摘要

1991年,我院收治了3例胸主动脉瘤破裂入肺并形成假性动脉瘤的患者,其中2例为升主动脉瘤破裂入右上肺叶,另1例为降主动脉瘤破裂入左上肺叶。这3例患者均被外院及我院误诊为肺癌或纵隔肿瘤。通过主动脉造影或开胸探查得以确诊。本文介绍了我们对该病的诊断和治疗的初步经验。

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本文引用的文献

1
Thoracic aortic aneurysms: a population-based study.胸主动脉瘤:一项基于人群的研究。
Surgery. 1982 Dec;92(6):1103-8.