糖尿病酮症酸中毒中的纵隔气肿、心包积气和硬膜外气体沉着症。

Pneumomediastinum, pneumopericardium, and epidural pneumatosis in DKA.

作者信息

Pooyan Payam, Puruckherr Michael, Summers Jeffrey A, Byrd Ryland P, Roy Thomas M

机构信息

Veterans Affairs Medical Center 111-B, PO Box 4000, Mountain Home, TN 37684-4000, USA.

出版信息

J Diabetes Complications. 2004 Jul-Aug;18(4):242-7. doi: 10.1016/S1056-8727(03)00059-X.

DOI:10.1016/S1056-8727(03)00059-X

PMID:15207845

Abstract

Pneumomediastinum (PM) is an uncommon condition characterized by the presence of air in the mediastinum. It is associated with alveolar rupture that allows air to traverse along the bronchovascular bundle into the mediastinum. A review of the world medical literature identified 50 additional cases of PM and pneumopericardium (PC) associated with diabetic ketoacidosis (DKA). We report the occurrence of PM, PC, as well as epidural pneumatosis occurring simultaneously in a patient with DKA. Epidural pneumatosis in association with this metabolic derangement has not been previously described.

摘要

纵隔气肿（PM）是一种罕见的疾病，其特征是纵隔内存在气体。它与肺泡破裂有关，肺泡破裂使空气沿支气管血管束进入纵隔。对世界医学文献的回顾发现了另外50例与糖尿病酮症酸中毒（DKA）相关的纵隔气肿和心包积气（PC）病例。我们报告了1例DKA患者同时发生纵隔气肿、心包积气以及硬膜外积气的病例。此前尚未有与这种代谢紊乱相关的硬膜外积气的描述。