食管支架置入术后罕见并发症-食管心包瘘一例

doi:10.3877/cma.j.issn.2095-5782.2025.03.015

中华介入放射学电子杂志 ›› 2025, Vol. 13 ›› Issue (03) : 273 -274. doi: 10.3877/cma.j.issn.2095-5782.2025.03.015

病例报告

食管支架置入术后罕见并发症-食管心包瘘一例

吕丽爱¹, 赖林强², 张登科²^,^†(

)

¹　323000　浙江　丽水，温州医科大学附属第五医院麻醉科
²　323000　浙江　丽水，温州医科大学附属第五医院肿瘤中心

收稿日期:2024-04-03 出版日期:2025-08-25
通信作者: 张登科
基金资助:
浙江省医学会临床医学专项资金项目(2022ZYC-A263)

Esophagopericardial Fistula: A Rare Complication After Esophageal Stent Placement

Liai Lv, Linqiang Lai, Dengke Zhang^†()

Received:2024-04-03 Published:2025-08-25
Corresponding author: Dengke Zhang

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关键词: 食管心包瘘, 心包积气, 食管支架

图1 治疗前后患者胸部正位片、胸部增强CT、DSA影像情况 1A：术中DSA显示支架置入后造影剂顺利通过(箭头)；1B：急诊CT引导下行心包积气穿刺抽吸（箭头）；1C：胸部正位片提示心包大量积气(箭头)；1D：复查增强CT提示原食管支架上缘局部食管与纵隔、心包相通(箭头)；1E：急诊CT引导下行心包积气置管引流(箭头)；1F：DSA下食管覆膜支架覆盖瘘口，支架扩张好（箭头）。DSA：数字减影血管造影。

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[1]	杜涛君, 谢双宇, 林元义, 伍金林. 新生儿心包积气诊治分析并文献复习[J/OL]. 中华妇幼临床医学杂志(电子版), 2019, 15(01): 39-45.

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