产后纵隔气肿

Postpartum pneumomediastinum.

作者信息

Norzilawati M N, Shuhaila A, Zainul Rashid M R

机构信息

Department of Obstetrics and Gynaecology, Faculty of Medicine, Hospital University Kebangsaan Malaysia, Jalan Yaacob Latif, Cheras, Malaysia.

出版信息

Singapore Med J. 2007 Jun;48(6):e174-6.

PMID:17538741

Abstract

A 21-year-old primigravida with previous history of pulmonary tuberculosis had a normal but assisted vaginal delivery after a prolonged second stage. Within 12 hours, she complained of dyspnoea and was found to have abnormal neck and anterior chest wall swelling. A diagnosis of subcutaneous emphysema was made and this was confirmed with the chest radiograph, which also revealed pneumomediastinum. She recovered well within four days with conservative treatment.

摘要

一名21岁初产妇，既往有肺结核病史，第二产程延长后经辅助阴道分娩，分娩过程顺利。产后12小时，她诉呼吸困难，发现颈部及前胸壁肿胀异常。诊断为皮下气肿，胸部X线片证实了这一诊断，胸部X线片还显示有纵隔气肿。经保守治疗，她在四天内康复良好。