Hémothorax iatrogène récidivant

R Ascencio , J Campistron , P Lagadec , F Domergue , S Vergne
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Abstract

A case of recurrent hemothorax following accidental puncture of a normal aorta has been recorded. The patient was admitted for chronic bronchitis with subsequent dyspnea, and edema in the left lower leg. After clinical investigation, treatment included pleural drainage, during which arterial bleeding occurred. CT scan showed the absence of any aneurysm, but it revealed an accidental puncture of the descending aorta, which was directly in contact with the thoracic wall and situated very posteriorly. To the authors' knowledge, this is the only report in the literature on an accidental puncture of a normal aorta. However, one case of aneurysmal descending thoracic aorta and accidental puncture has already been reported.

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复发医源性血胸
本文报告一例正常主动脉意外穿刺后复发性血胸。患者因慢性支气管炎入院,随后出现呼吸困难和左小腿水肿。经临床调查,治疗包括胸腔引流,期间发生动脉出血。CT扫描未见动脉瘤,但发现意外穿刺降主动脉,直接与胸壁接触,位于非常后方。据作者所知,这是文献中唯一的关于意外穿刺正常主动脉的报道。然而,已有一例动脉瘤性胸降主动脉意外穿刺的报道。
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