BACKGROUND Fistula between the esophagus and bronchial artery is an extremely rare and potentially life-threatening cause of acute upper gastrointestinal bleeding.Here,we report a case of fistula formation between the...BACKGROUND Fistula between the esophagus and bronchial artery is an extremely rare and potentially life-threatening cause of acute upper gastrointestinal bleeding.Here,we report a case of fistula formation between the esophagus and a nonaneurysmal right bronchial artery(RBA).CASE SUMMARY An 80-year-old woman with previous left pneumonectomy and recent placement of an uncovered self-expandable metallic stent for esophageal adenocarcinoma was admitted due to hematemesis.Emergent computed tomography showed indirect signs of fistulization between the esophagus and a nonaneurysmal RBA,in the absence of active bleeding.Endoscopy revealed the esophageal stent correctly placed and a moderate amount of red blood within the stomach,in the absence of active bleeding or tumor ingrowth/overgrowth.After prompt multidisciplinary evaluation,a step-up approach was planned.The bleeding was successfully controlled by esophageal restenting followed by RBA embolization.No signs of rebleeding were observed and the patient was discharged home with stable hemoglobin level on postoperative day 7.CONCLUSION This was a previously unreported case of an esophageal RBA fistula successfully managed by esophageal restenting followed by RBA embolization.展开更多
目的提出一种适用于经外周静脉穿刺中心静脉置管术(Peripherally Inserted Central Venous Catheters,PICC)置管术后床边移动—分离式换药专用车。方法介绍了PICC基础知识、日常护理方法及常见并发症,分析了常规PICC换药过程中存在的问...目的提出一种适用于经外周静脉穿刺中心静脉置管术(Peripherally Inserted Central Venous Catheters,PICC)置管术后床边移动—分离式换药专用车。方法介绍了PICC基础知识、日常护理方法及常见并发症,分析了常规PICC换药过程中存在的问题,提出了一种可适用于PICC换药室、一般病房以及无菌病房患者换药的移动—分离式换药专用车。结果换药专用车可自由调整操作工作台高度,可灵活调整患者上肢支架角度和高度,可提供曲面、人性化的接触支架,可拆卸式上肢支架,可进行局部消毒,可满足无菌病房患者换药需求。结论换药专车将换药操作化繁为简,能提高患者在换药过程中的舒适度,具有一定的临床价值和研究意义。展开更多
文摘BACKGROUND Fistula between the esophagus and bronchial artery is an extremely rare and potentially life-threatening cause of acute upper gastrointestinal bleeding.Here,we report a case of fistula formation between the esophagus and a nonaneurysmal right bronchial artery(RBA).CASE SUMMARY An 80-year-old woman with previous left pneumonectomy and recent placement of an uncovered self-expandable metallic stent for esophageal adenocarcinoma was admitted due to hematemesis.Emergent computed tomography showed indirect signs of fistulization between the esophagus and a nonaneurysmal RBA,in the absence of active bleeding.Endoscopy revealed the esophageal stent correctly placed and a moderate amount of red blood within the stomach,in the absence of active bleeding or tumor ingrowth/overgrowth.After prompt multidisciplinary evaluation,a step-up approach was planned.The bleeding was successfully controlled by esophageal restenting followed by RBA embolization.No signs of rebleeding were observed and the patient was discharged home with stable hemoglobin level on postoperative day 7.CONCLUSION This was a previously unreported case of an esophageal RBA fistula successfully managed by esophageal restenting followed by RBA embolization.
文摘目的提出一种适用于经外周静脉穿刺中心静脉置管术(Peripherally Inserted Central Venous Catheters,PICC)置管术后床边移动—分离式换药专用车。方法介绍了PICC基础知识、日常护理方法及常见并发症,分析了常规PICC换药过程中存在的问题,提出了一种可适用于PICC换药室、一般病房以及无菌病房患者换药的移动—分离式换药专用车。结果换药专用车可自由调整操作工作台高度,可灵活调整患者上肢支架角度和高度,可提供曲面、人性化的接触支架,可拆卸式上肢支架,可进行局部消毒,可满足无菌病房患者换药需求。结论换药专车将换药操作化繁为简,能提高患者在换药过程中的舒适度,具有一定的临床价值和研究意义。
