Egbagbe E E, Elusoji S O
Department of Medicine, University of Benin Teaching Hospital, Benin City, Nigeria.
J Pak Med Assoc. 2006 Jun;56(6):287-9.
The case of a nineteen year old male student who presented with marked dyspnoea, dysphagia and horseness of voice is presented. Chest examination revealed bilateral polyphonic rhonchi and the chest radiograph showed the presence of subcutaneous emphysema and pneumomediastinum. A diagnosis of acute severe asthma complicated with subcutaneous emphysema and pneumomediastinum was made and the patient was managed conservatively on nebulized salbutamol, steroids, oxygen and chest physiotheraphy. He made a remarkable improvement and has remained in a stable clinical condition.
本文报告了一名19岁男性学生的病例,该患者表现为明显的呼吸困难、吞咽困难和声音嘶哑。胸部检查发现双侧多音性哮鸣音,胸部X线片显示存在皮下气肿和纵隔气肿。诊断为急性重症哮喘合并皮下气肿和纵隔气肿,患者接受了雾化沙丁胺醇、类固醇、氧气和胸部物理治疗的保守治疗。他病情显著改善,目前临床状况稳定。