胸主动脉瘤支架术后反复咯血1例  

Recurrent hemoptysis after aorta aneurysm stent implantation:a case report

作　　者：张升雄 杨振[1] 陈志明[2] 张云辉[1] Zhang Shengxiong;Yang Zhen;Chen Zhiming;Zhang Yunhui(Department of Pulmonary and Critical Care Medicine,the First People′s Hospital of Yunnan Province,the Affiliated Hospital of Kunming University of Science and Technology,Kunming 650032,China;Department of Radiology,the First People′s Hospital of Yunnan Province,the Affiliated Hospital of Kunming University of Science and Technology,Kunming 650032,China)

机构地区：[1]云南省第一人民医院呼吸与危重症医学科、昆明理工大学附属医院,昆明650032 [2]云南省第一人民医院放射介入科、昆明理工大学附属医院,昆明650032

出　　处：《中华结核和呼吸杂志》2024年第8期772-775,共4页Chinese Journal of Tuberculosis and Respiratory Diseases

基　　金：云南省昆医联合专项(202101AY070001-270);云南省科技厅人才与平台计划(院士专家工作站)(202305AF150147)。

摘　　要：咯血的病因复杂多样。主动脉瘤所致咯血属于隐源性咯血的罕见病因之一。本文报道1例罕见的咯血病例:男性,56岁,因咯血诊断为胸主动脉瘤,在动脉支架植入后反复间断咯血,经过动脉造影及多学科讨论,最终诊断为胸廓动脉肺动脉瘘和主动脉-支气管瘘所致咯血。对于主动脉手术后反复咯血患者,需要高度警惕主动脉-支气管瘘。The etiology of hemoptysis is diverse and complex,with aorta aneurysm being identified as a rare cause of cryptogenic hemoptysis.Here,we reported a 56-year-old male patient who experienced hemoptysis due to a thoracic aorta aneurysm that persisted despite stent implantation.Further investigation revealed the presence of a lateral thoracic artery-pulmonary artery fistula and an aortobronchial fistula,diagnosed by angiography and multidisciplinary consultation.Therefore,patients with recurrent hemoptysis after aortic surgery should be monitored for the possibility of an aortobronchial fistula.

关 键 词：支气管瘘 胸主动脉瘤 动脉造影 主动脉手术 咯血 肺动脉瘘 

分 类 号：R654.3[医药卫生—外科学]