PDF(Pubmed)
Abstract：
UNASSIGNED: Acute aorto-oesophageal fistula poses a significant mortality risk, requiring immediate and decisive medical intervention. This report highlights the critical need for innovation in emergency surgical responses.
METHODS: A 57-year-old male, with a history of aortic repair, presented with chronic anaemia and dysphagia. He suffered a cardiac arrest from massive hematemesis during surgery for an infected thoracic hematoma. Lacking a Stengsten-Blackmore tube, a 26Fr Foley catheter was used to control the bleeding. This measure stabilized the patient enough for a definitive endovascular repair with aortic stents, which successfully managed the bleeding.
UNASSIGNED: The treatment objectives for this condition include initial control of oesophageal bleeding, followed by endovascular management to further control the bleeding, subsequently releasing the oesophageal control, and ultimately preventing infection through the administration of intravenous antibiotics.
CONCLUSIONS: This case illustrates the importance of adaptability and the use of unconventional methods in emergency situations, demonstrating that innovative solutions can be lifesaving in critical surgical emergencies.
METHODS: A 57-year-old male, with a history of aortic repair, presented with chronic anaemia and dysphagia. He suffered a cardiac arrest from massive hematemesis during surgery for an infected thoracic hematoma. Lacking a Stengsten-Blackmore tube, a 26Fr Foley catheter was used to control the bleeding. This measure stabilized the patient enough for a definitive endovascular repair with aortic stents, which successfully managed the bleeding.
UNASSIGNED: The treatment objectives for this condition include initial control of oesophageal bleeding, followed by endovascular management to further control the bleeding, subsequently releasing the oesophageal control, and ultimately preventing infection through the administration of intravenous antibiotics.
CONCLUSIONS: This case illustrates the importance of adaptability and the use of unconventional methods in emergency situations, demonstrating that innovative solutions can be lifesaving in critical surgical emergencies.
摘要：
■急性主动脉-食管瘘具有显著的死亡风险，需要立即和果断的医疗干预。本报告强调了紧急外科手术应对创新的迫切需要。
方法：一位57岁的男性，有主动脉修复术的病史,表现为慢性贫血和吞咽困难。他在手术中因感染的胸部血肿而因大量呕血而心脏骤停。缺少Stengsten-Blackmore管,使用26FrFoley导管控制出血.这项措施使患者足够稳定，可以使用主动脉支架进行确定性血管内修复，成功控制了出血.
■这种情况的治疗目标包括最初控制食道出血，随后进行血管内管理以进一步控制出血，随后释放食道控制，并最终通过静脉注射抗生素预防感染。
结论：此案例说明了在紧急情况下适应性和使用非常规方法的重要性，证明创新的解决方案可以在关键的外科紧急情况下挽救生命。
方法：一位57岁的男性，有主动脉修复术的病史,表现为慢性贫血和吞咽困难。他在手术中因感染的胸部血肿而因大量呕血而心脏骤停。缺少Stengsten-Blackmore管,使用26FrFoley导管控制出血.这项措施使患者足够稳定，可以使用主动脉支架进行确定性血管内修复，成功控制了出血.
■这种情况的治疗目标包括最初控制食道出血，随后进行血管内管理以进一步控制出血，随后释放食道控制，并最终通过静脉注射抗生素预防感染。
结论：此案例说明了在紧急情况下适应性和使用非常规方法的重要性，证明创新的解决方案可以在关键的外科紧急情况下挽救生命。
