Mitták M, Satinský I, Kretek J, Bednaríková E
Chirurgická klinika Fakultní nemocnice s poliklinikou Ostrava-Poruba.
Rozhl Chir. 2006 Jun;85(6):273-6.
Spontaneous pneumomediastinum is a presence of free air in the mediastinum without previous injury and without previously known lung disease. Spontaneous pneumomediastinum is infrequent and little known by physicians. Authors present a case report of three young men with spontaneous pneumomediastinum. There was no evident causation in two cases. In one case there was previous excessive sport activity. Main presenting symptoms were chest and neck pain, odynophagia, dysphonia, vomiting, and neck subcutaneous emphysema. Esophageal perforation was ruled out. All patients recovered spontaneously. Spontaneous pneumomediastinum is the benign disease. Its main importace is in differential diagnosis concerning especially esophageal perforation.
自发性纵隔气肿是指纵隔内存在游离气体，且此前无外伤史和已知的肺部疾病。自发性纵隔气肿较为罕见，医生对此了解甚少。作者报告了3例患有自发性纵隔气肿的年轻男性病例。其中2例无明显病因。1例有既往过度运动史。主要表现症状为胸痛、颈痛、吞咽痛、声音嘶哑、呕吐和颈部皮下气肿。已排除食管穿孔。所有患者均自行康复。自发性纵隔气肿是一种良性疾病。其主要重要性在于特别是与食管穿孔的鉴别诊断。
