Herlan D B, Landreneau R J, Ferson P F
Division of Cardiothoracic Surgery, University of Pittsburgh Medical Center.
Chest. 1992 Aug;102(2):503-5. doi: 10.1378/chest.102.2.503.
Four patients who recently developed massive spontaneous subcutaneous emphysema in our intensive care unit are reported. No obviously remediable intrathoracic process was found in any of these patients. The acute physiologic impairment and grotesque cosmetic deformity were immediately alleviated by making bilateral 3-cm infraclavicular incisions down to the pectoralis fascia. These acutely decompressed the progressive subcutaneous dissection and each patient's subcutaneous emphysema resolved without any additional invasive therapy.
本文报告了在我们重症监护病房最近出现大量自发性皮下气肿的4例患者。在这些患者中均未发现明显可补救的胸内病变。通过在双侧锁骨下3厘米处向下切开至胸大肌筋膜，急性生理损害和怪异的外观畸形立即得到缓解。这迅速缓解了进行性皮下剥离，且每位患者的皮下气肿无需任何额外的侵入性治疗即得以消退。
