Uscategui-Florez T, Martinez-Devesa P, Gupta D
Department of ENT, The Great Western Hospital, Swindon, UK.
Surgeon. 2006 Jun;4(3):179-82. doi: 10.1016/s1479-666x(06)80090-9.
Pneumomediastinum and pneumopericardium are very rare complications resulting from blunt trauma to the head and neck. We report the case of a 40-year-old male who had been assaulted. He presented to the Emergency Department with bruises to the face and neck and complained of dysphagia. He was found to have extensive subcutaneous emphysema of the face and neck. Imaging revealed the presence of a mucosal tear in the oropharynx leading to pneumomediastinum and pneumopericardium. He was managed conservatively and made an uneventful recovery. This is a very rare but potentially life-threatening complication of blunt trauma to the head and neck. It poses diagnostic difficulties and treatment dilemmas, which are discussed.
纵隔气肿和心包积气是头颈部钝性创伤引起的非常罕见的并发症。我们报告一例40岁男性遭袭击的病例。他因面部和颈部瘀伤就诊于急诊科，并主诉吞咽困难。发现他面部和颈部有广泛的皮下气肿。影像学检查显示口咽黏膜撕裂，导致纵隔气肿和心包积气。他接受了保守治疗，恢复顺利。这是头颈部钝性创伤一种非常罕见但可能危及生命的并发症。它带来了诊断困难和治疗困境，本文对此进行了讨论。
