Sakai T, Kimura Y, Koyanagi M, Sudo Y, Hasegawa Y, Matsukawa M
Department of Surgery, Hirosaki City Hospital, Japan.
Kyobu Geka. 2006 Apr;59(4):340-3.
A 19-year-old man was punched on the back, and anterior chest pain appeared about 3 hours after injury. The patient was consulted a physician complaining of anterior chest pain. On chest X-ray, mediastinal emphysema was suspected, and transferred to our hospital. Chest computed tomography (CT) revealed mediastinal emphysema. On esophageal radiography and bronchofiberscopy, no abnormal findings were detected. Conservative therapy was conducted, and symptoms had gradually improved. On the 8th hospital day, mediastinal emphysema was improved on chest CT. The patient was discharged on the 10th hospital day. The most frequent cause of mediastinal emphysema after trauma is traffic or downfall accident, and no report on this condition after the punch on the back was found.
一名19岁男性背部被人击打，受伤约3小时后出现前胸痛。患者因前胸痛就诊于内科医生。胸部X线检查怀疑有纵隔气肿，遂转至我院。胸部计算机断层扫描（CT）显示纵隔气肿。食管造影和纤维支气管镜检查未发现异常。采取保守治疗，症状逐渐改善。住院第8天，胸部CT显示纵隔气肿有所改善。患者于住院第10天出院。创伤后纵隔气肿最常见的原因是交通或跌倒事故，未发现背部被击打后出现这种情况的报告。
