哮喘急性发作期间因咳嗽导致左侧膈肌大面积分离和破裂。

Massive left diaphragmatic separation and rupture due to coughing during an asthma exacerbation.

作者信息

Kallay N, Crim L, Dunagan D P, Kavanagh P V, Meredith W, Haponik E F

机构信息

Department of Internal Medicine, Wake Forest University Baptist Medical Center, Winston-Salem, NC 27157-1054, USA.

出版信息

South Med J. 2000 Jul;93(7):729-31.

PMID:10923968

Abstract

We report a case of herniation of abdominal contents into the left hemithorax in a patient hospitalized with an acute exacerbation of asthma accompanied by paroxysms of coughing. There was no history of trauma. We believe this is the first reported case of diaphragmatic rupture complicating an asthma exacerbation. We review clinical features, pathophysiology, diagnosis, and treatment of diaphragmatic rupture in its most common setting, trauma, and discuss its occasional "spontaneous" occurrence.

摘要

我们报告了一例因哮喘急性加重伴阵发性咳嗽而住院的患者，其腹腔内容物疝入左半胸。患者无外伤史。我们认为这是首例报道的哮喘加重并发膈肌破裂的病例。我们回顾了膈肌破裂在其最常见情况（即外伤）下的临床特征、病理生理学、诊断和治疗，并讨论了其偶尔的“自发性”发生情况。