Togashi K, Hosaka Y
Department of Thoracic Surgery, Nagaoka Red Cross Hospital, Nagaoka, Japan.
Kyobu Geka. 2007 Dec;60(13):1163-6.
We report 5 cases of spontaneous pneumomediastinum. They were 4 men and 1 female with a mean age of 17 (14-25). Four patients developed sport-related pneumomediastinum and 1 patient had a karaoke-related condition. Primary spontaneous pneumomediasinum is a rare condition. In addition, there is no previous report describing karaoke-related spontaneous pneumomediastinum. Each of the patients experienced chest pain and/or neck pain before consulting our hospital. Chest roentgenogram and chest computed tomography showed pneumomediastinum without esophageal or tracheal injury. Four patients did not require hospitalization, but 1 patient was necessary to hospitalize for 7 days because of severe chest and neck pain. None of these 5 patients has had any recurrence for more than 1 year. Differentiating this entity from other diseases involving anterior chest pain is important.
我们报告了5例自发性纵隔气肿病例。其中4例为男性，1例为女性，平均年龄17岁（14 - 25岁）。4例患者发生了与运动相关的纵隔气肿，1例患者与卡拉OK相关。原发性自发性纵隔气肿是一种罕见疾病。此外，此前尚无关于与卡拉OK相关的自发性纵隔气肿的报道。每位患者在就诊我院之前均经历过胸痛和/或颈部疼痛。胸部X线片和胸部计算机断层扫描显示纵隔气肿，无食管或气管损伤。4例患者无需住院，但1例患者因严重的胸痛和颈部疼痛需住院7天。这5例患者均无超过1年的复发情况。将该疾病与其他涉及前胸疼痛的疾病相鉴别很重要。
