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頁籤選單縮合
題名 | Fatal Hemoptysis in Dissecting Aortic Aneurysm and Salmonellosis: A Case Report=發生在剝離性主動脈瘤合併沙門桿菌病的致命性咳血:一病例報告 |
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作者姓名(中文) | 鍾昇亮; 丁予安; | 書刊名 | 中華醫學雜誌 |
卷期 | 62:11 1999.11[民88.11] |
頁次 | 頁817-822 |
分類號 | 415.426 |
關鍵詞 | 主動脈支氣管瘻管; 剝離性主動脈瘤; 咳血; 沙門桿菌病; Aortobronchial fistula; Dissecting aortic aneurysm; Hemoptysis; Salmonellosis; |
語文 | 英文(English) |
中文摘要 | 在剝離性主動脈瘤中,咳血雖然是一個很少見的症候,但主動脈支氣管�硎犌野i能發生在菌病性、粥狀硬化性、外傷性或手術後的主動脈瘤。主動脈支氣管�硎猺Y不以外科治療,往往是致命的。對出現咳血情形的主動脈支氣管�硎獊f人而言,積極診斷可提高其存活率。影像診斷中的胸部X光片、胞部電腦斷層、血管攝影及支氣管鏡均能提供有效的資訊。但是,在這種情況下,臨床醫師仍然面臨�憔D戰。有時候在發生致命性出血之前,往往有先兆期的間歇咳血,這可使臨床醫師儘早發現主動脈支氣管�硎煄A並進行緊急手術。我們報告1個有這種情形的病例,讓臨床醫師提高對這種有潛在原因的咳血之警覺性。 |
英文摘要 | Hemoptysis is a rare manifestation of dissecting aortic aneurysm and aortobronchial fistula may occur when an aortic aneurysm is mycotic, atherosclerotic, traumatic or postoperative. Aortobronchial fistulas are generally fatal if not treated surgically. An aggressive diagnostic approach to patients with hemoptysis and prompt surgical intervention in those suspected of aortobronchial fistulas should result in additional survivors. Imaging studies, including chest radiography, chest computerized tomography, arteriogrphy and bronchoscopy provide useful diagnostic information. However, challenges remain when we encounter this condition. Sometimes, the final exsanguinating hemorrhage is preceded by a distinct prodromal period of intermittent hemoptysis. This allows clinicians time to recognize such fistulas and perform emergency surgery. We present a patient with this condition to alert clinicians to this potentially deadly cause of hemoptysis. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。