外路泪囊鼻腔吻合术后发生纵隔气肿。
Pneumomediastinum after external dacryocystorhinostomy.
作者信息
Chu Yen-Chang, Ma Lih
机构信息
Division of Oculoplasty, Department of Ophthalmology, Chang Gung Memorial Hospital, Guei-Shan, Tao-Yuan, Taiwan.
出版信息
Ophthalmic Plast Reconstr Surg. 2008 Mar-Apr;24(2):148-50. doi: 10.1097/IOP.0b013e318166dca8.
A 73-year-old man had right chronic epiphora for many years. After uneventful external dacryocystorhinostomy, he developed dyspnea and neck swelling after forcefully blowing his nose. CT showed diffuse cervicofacial subcutaneous emphysema and pneumomediastinum. He was admitted to prevent further cardiovascular complications. Pneumomediastinum is a rare complication of routine dacryocystorhinostomy. Supportive treatment to prevent additional air trapping is mandatory.
一名73岁男性多年来一直患有右侧慢性泪溢。在进行了顺利的外路泪囊鼻腔吻合术后，他在用力擤鼻后出现呼吸困难和颈部肿胀。CT显示弥漫性颈面部皮下气肿和纵隔气肿。他入院以预防进一步的心血管并发症。纵隔气肿是常规泪囊鼻腔吻合术的一种罕见并发症。必须采取支持性治疗以防止额外的空气潴留。
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