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主动脉-食管瘘(AEF)多由食管异物引起,死亡率极高,国内已报道约40例死亡病例。临床诊断主要依靠病史、症状、X线检查。本院内镜检查确诊1例,现报告于下。 患者,男,63岁,血吸虫病疫区农民,嗜酒40年。因胸痛伴畏寒发热8天,X线钡餐透视与心电图检查无异常,在当地卫生院拟诊为“胸膜炎”,予抗炎治疗无效,呕吐鲜红色血液2天转入本院。查体:T 38.5℃,R20次/min,P 120次/min,Bp 14/9kPa,神清,辗转不安,对答不切题,痛苦面容,无胸腹壁静脉曲张,心肺听诊
Aortic - esophageal fistula (AEF) mostly caused by esophageal foreign body, the mortality rate is very high, about 40 cases of death have been reported in China. Clinical diagnosis depends mainly on medical history, symptoms, X-ray examination. Endoscopy confirmed one case of hospital, the report is now under. Patient, male, 63 years old, farmer infected with schistosomiasis, alcohol 40 years. Due to chest pain with chills and fever for 8 days, X-ray barium meal fluoroscopy and electrocardiogram examination was normal, at the local hospital to be diagnosed as “pleurisy”, to anti-inflammatory treatment is invalid, vomiting bright red blood transferred to our hospital for 2 days. Physical examination: T 38.5 ℃, R20 times / min, P 120 times / min, Bp 14 / 9kPa, Shen Qing, restless, answer irreversible, painful face, chest wall abdominal varicose veins, cardiopulmonary auscultation