Katyal D, Jewell L D, Yakimets W W
Department of Surgery, University of Alberta, Edmonton.
Can J Surg. 1993 Oct;36(5):480-2.
Aorto-intestinal fistula is a rare cause of massive upper gastrointestinal bleeding. The authors report on an 82-year-old man who had an aorto-esophageal fistula due to a benign Barrett's ulcer. The patient presented with a sentinel hemorrhage followed by fatal exsanguination despite vigorous attempts at resuscitation. Management of the entity requires awareness, appropriate radiologic and endoscopic investigation and early surgery. Even with appropriate management, the mortality remains high.
主动脉-肠瘘是导致大量上消化道出血的罕见原因。作者报告了一名82岁男性，因良性巴雷特溃疡导致主动脉-食管瘘。该患者先出现前驱性出血，尽管进行了积极的复苏尝试，但最终仍因失血过多死亡。对该疾病的治疗需要提高认识、进行适当的放射学和内镜检查以及早期手术。即使进行了适当的治疗，死亡率仍然很高。
