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自发性纵隔气肿:急性哮喘的一种罕见并发症。

Spontaneous pneumomediastinum: a rare complication of acute asthma.

作者信息

Khalid M S, Ahmad N, Moin S, El-Faedy O, Gaffney P

机构信息

Accident and Emergency Department, Mayo General Hospital, Castlebar, Co Mayo, Ireland.

出版信息

Ir J Med Sci. 2008 Dec;177(4):393-6. doi: 10.1007/s11845-007-0039-5. Epub 2007 Jul 6.

DOI:10.1007/s11845-007-0039-5
PMID:17619095
Abstract

BACKGROUND

Pneumomediastinum and subcutaneous emphysema are rare complications of acute asthma. If pneumomediastinum occurs it can cause compression on major vessels in the mediastinum and neck and can lead to low blood pressure along with chest pain and other life-threatening complications. Therefore, knowledge of this condition and its proper management are very important for doctors.

CONCLUSIONS

The authors report on a case of pneumomediastinum and surgical emphysema and discuss the diagnostic and therapeutic implications of this condition. In this report a 20 year-old girl presented to A and E department of Mayo General Hospital with an acute exacerbation of asthma complicated by pneumomediastinum and subcutaneous emphysema.

摘要

背景

纵隔气肿和皮下气肿是急性哮喘的罕见并发症。如果发生纵隔气肿,可导致纵隔和颈部主要血管受压,进而引发低血压以及胸痛和其他危及生命的并发症。因此,了解这种疾病及其正确的治疗方法对医生来说非常重要。

结论

作者报告了一例纵隔气肿和手术性气肿的病例,并讨论了该疾病的诊断和治疗意义。在本报告中,一名20岁女孩因哮喘急性加重并伴有纵隔气肿和皮下气肿而就诊于梅奥综合医院急诊科。

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本文引用的文献

1
Pneumomediastinum and subcutaneous emphysema in acute miliary tuberculosis.急性粟粒性肺结核中的纵隔气肿和皮下气肿
Indian J Pediatr. 2004 Jun;71(6):553-4. doi: 10.1007/BF02724303.
2
Spontaneous pneumomediastinum: a rare benign entity.自发性纵隔气肿:一种罕见的良性病症。
J Thorac Cardiovasc Surg. 2003 Sep;126(3):774-6. doi: 10.1016/s0022-5223(03)00124-7.
3
Rhinolalia: an underappreciated sign of pneumomediastinum.鼻音:纵隔气肿的一个未得到充分重视的体征。
J Thorac Dis. 2014 Mar;6 Suppl 1(Suppl 1):S152-61. doi: 10.3978/j.issn.2072-1439.2014.03.05.
Ann Thorac Surg. 2000 Feb;69(2):615-6. doi: 10.1016/s0003-4975(99)01114-5.
4
Pneumomediastinum in childhood asthma.儿童哮喘中的纵隔气肿
Pediatr Emerg Care. 1996 Apr;12(2):98-101. doi: 10.1097/00006565-199604000-00008.
5
Pneumomediastinum: old signs and new signs.纵隔气肿:旧体征与新体征
AJR Am J Roentgenol. 1996 May;166(5):1041-8. doi: 10.2214/ajr.166.5.8615238.