Küçükosmanoğlu O, Karakoç G B, Yilmaz M, Altintas D, Güneser Kendirli S
Department of Pediatric Cardiology, Cukurova University, School of Medicine, Adana, Turkey.
Allergol Immunopathol (Madr). 2001 Jan-Feb;29(1):28-30. doi: 10.1016/s0301-0546(01)79012-x.
We describe a 4-year-old girl with asthma who presented with pneumomediastinum, pneumopericardium and subcutaneous emphysema. She was admitted to our hospital with dyspnea, chest pain, palpitation and cough of two days duration. She had attacks of cough, dyspnea and wheezing from two years of age, but she did not have a diagnosis of asthma previously. She was dyspneic and had subcutaneous emphysema in the neck, axilla and thorax. In the skin prick test (Center Lab. USA) she had positive reaction to Dermatophagoides pteronyssinus, Dermatophagoides farinae, mold mix, tree mix and grass mix. Pulmonary function tests could not be performed. In the chest X-ray air was seen in mediastinum and subcutaneous area and the epicardium was surrounded completely with air. She was treated successfully with inhaled salbutamol and budesonide. Radiological signs of pneumopericardium and pneumomediastinum disappeared completely in ten days period. In the light of this case we want to mention that early diagnosis and treatment of asthma should be done to prevent serious complication of asthma.
我们描述了一名4岁哮喘女童，她出现了纵隔气肿、心包积气和皮下气肿。她因持续两天的呼吸困难、胸痛、心悸和咳嗽入院。她从两岁起就有咳嗽、呼吸困难和喘息发作，但之前未被诊断为哮喘。她呼吸困难，颈部、腋窝和胸部有皮下气肿。在皮肤点刺试验（美国中央实验室）中，她对屋尘螨、粉尘螨、混合霉菌、混合树木花粉和混合草花粉呈阳性反应。无法进行肺功能测试。胸部X线显示纵隔和皮下区域有气体，心包完全被气体包围。她通过吸入沙丁胺醇和布地奈德成功治愈。心包积气和纵隔气肿的放射学征象在十天内完全消失。鉴于此病例，我们想指出应尽早诊断和治疗哮喘，以预防哮喘的严重并发症。
