Palmese Salvatore, Carbone Domenico, Muoio Raffaele, Scarano Daniele, Odierna Italia, Scibilia Andrea C, Natale Alfonso
UOC Anestesia e Rianimazione, Ospedale Umberto I, Nocera Inferiore (Salerno).
Recenti Prog Med. 2008 Sep;99(9):458-60.
This case report has the scope to review the etiology and pathophysiology of pneumomediastinum in severe blunt trauma, with a special interest to its more frequent origin: the Macklin effect. The Macklin effect is a pathophysiologic process characterized by the blunt traumatic alveolar ruptures, air dissection along bronchovascular sheaths, with the formation of blunt pulmonary interstitial emphysema, radiologic marker, until the formation of a pneumomediastinum. Its premature diagnostic acknowledgment is important in the managing of the blunt chest trauma.
本病例报告旨在回顾严重钝性创伤中纵隔气肿的病因及病理生理学，尤其关注其更常见的起源：麦克林效应。麦克林效应是一种病理生理过程，其特征为钝性创伤导致肺泡破裂，空气沿支气管血管鞘扩散，形成钝性肺间质肺气肿这一放射学标志，直至形成纵隔气肿。其早期诊断识别对于钝性胸部创伤的处理很重要。
