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[新生儿气胸与产后自发性皮下气肿。病例报告及文献综述]

[Neumopericardium and spontaneous post partum subcutaneus emphysema. A case report and literature review].

作者信息

Velasco Alva S M, Pliego Pérez A R, Espínola Zetina C

机构信息

Clínica de Especialidades de la Mujer, Secretaría de la Defensa Nacional, México, DF.

出版信息

Ginecol Obstet Mex. 2001 May;69:185-8.

PMID:15326804
Abstract

The barotrauma cases related to childbirth are an uncommon event, especially the neumopericardium. This entity must be suspected in a patient with subcutaneuos emphysema and confirmed by chest X-ray. The management is based on closed observation, support measures and antibiotic to prevent infection. The radiological follow up is important to evaluate the resolution of this problem. The patient must be followed with caution if the neumopericardium increases because this could lead to a cardiac tamponade with fatal consequences. The description of a case diagnosed and managed in our hospital is done herein which evolution was satisfactory towards resolution of the pneumopericardium without the need of further intervention.

摘要

与分娩相关的气压伤病例并不常见,尤其是气胸。皮下气肿患者必须怀疑有这种情况,并通过胸部X光确诊。治疗基于密切观察、支持措施和使用抗生素预防感染。影像学随访对于评估该问题的解决情况很重要。如果气胸加重,必须谨慎随访患者,因为这可能导致心脏压塞,后果致命。本文描述了我院诊断和治疗的一例病例,其气胸的转归良好,无需进一步干预。

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