Calvo Romero J M
Servicio de Medicina Interna, Hospital Regional Universitario Infanta Cristina, Badajaz.
An Med Interna. 2000 Dec;17(12):655-6.
The association between pulmonary fibrosis and pneumomediastinum is infrequent. Computed tomography is the suited method for the detection of small pneumomediastinum, which is difficult to detect by chest radiography. A case of idiopathic pulmonary fibrosis, with frequent and violent cough, with pneumomediastinum and cervical subcutaneous emphysema, without pneumothorax, probably caused by rupture of bullae is presented. The outcome was favourable with symptomatic treatment.
肺纤维化与纵隔气肿之间的关联并不常见。计算机断层扫描是检测小纵隔气肿的合适方法，胸部X线摄影很难检测到小纵隔气肿。本文报告一例特发性肺纤维化患者，伴有频繁剧烈咳嗽，合并纵隔气肿和颈部皮下气肿，无气胸，可能由肺大疱破裂所致。经对症治疗后预后良好。
