摘要
后纵隔炎伴血肿是纵隔非肿瘤性疾病中的一种特殊类型,好发部位和起病方式多样,多以胸痛为首发症状,临床表现易与纵隔常见疾病如肿瘤、结核、囊肿等相混淆,容易误诊和漏诊。本文通过报道1例后纵隔炎伴血肿患者诊疗经过并结合该病相关的文献复习,总结其血肿分布、发病诱因、基础疾病、起病方式、出血来源、临床症状、误诊情况及主要检查、治疗方法和预后等临床特征,以增强临床医生对后纵隔非肿瘤占位性疾病的认识,减少误诊误治的发生。
Posterior mediastinal inflammation with hematoma is one special type of non - tumor occupying diseases in the mediastinum. The sites and onset modes of it vary among the sick, while chest pain is the first and most common clinical manifestation. And it is easily confused with other common diseases in mediastinum such as tumor, tuberculosis, cyst and so on, which results in misdiagnosis and diagnostic errors. In order to improve the clinicians＇ awareness tevel of non - space - occupying lesion in the posterior mediastinum and to reduce the misdiagnosis and mistreatment, in this paper, we summarized the clinical features of this disease, including the hematoma location, incentives, the basic disease, mode of onset, causes of bleeding, clinical symptoms, misdiagnosis and main examinations, treatment and prognosis based on reporting the clinical diagnosis and treatment of one case of posterior mediastinal inflammation with hematoma combined with the related literature review.
作者
王宾宾
韩一平
WANG Bin - bin HAN Yi -ping(Department of General Medicine, Changhai Hospital, the Secondary Military Medical University, Shanghai 200433, Chin)
出处
《中国全科医学》
CAS
北大核心
2017年第30期3811-3817,共7页
Chinese General Practice
关键词
纵隔炎
血肿
纵隔肿瘤
抗凝药
病例报告
Mediastinis
Hematoma
Mediastinal neoplasms
Anticoagulants
Case reports
