Yoshimura N, Ataka K, Yoshida M, Sugimoto T, Yamashita C, Okada M, Nakayama S, Ishii N
Department of Surgery, Kobe University School of Medicine, Japan.
Kyobu Geka. 1996 Oct;49(11):943-6.
A 64-year-old man was hospitalized with severe chest and back pain. A computed tomography (CT) demonstrated an acute type A aortic dissection with cardiac tamponade. Emergency pericardial drainage was performed. Then he was referred to our hospital. An enhanced CT showed an acute type A aortic dissection with thrombosed false lumen. A digital subtraction angiography (DSA) showed no intimal tear and false lumen. He received the medical treatment. Marked elevation of fibrinogen, thrombin-antithrombin III complex (TAT), plasmin-alpha(2) plasmin inhibitor complex (PIC), fibrin degradation products (FDP), and D-Dimer indicated the activation of both coagulation and fibrinolysis in the false lumen. These thrombotic and fibrinolytic parameters were completely normalized 6 weeks after admission. He was discharged in good health 7 weeks after admission.
一名64岁男性因严重胸痛和背痛入院。计算机断层扫描（CT）显示为急性A型主动脉夹层伴心包填塞。进行了紧急心包引流。随后他被转诊至我院。增强CT显示为急性A型主动脉夹层伴血栓形成的假腔。数字减影血管造影（DSA）显示无内膜撕裂和假腔。他接受了药物治疗。纤维蛋白原、凝血酶 - 抗凝血酶III复合物（TAT）、纤溶酶 - α2纤溶酶抑制剂复合物（PIC）、纤维蛋白降解产物（FDP）和D - 二聚体显著升高，表明假腔内凝血和纤溶均被激活。入院6周后，这些血栓形成和纤溶参数完全恢复正常。入院7周后，他健康出院。
