Sciortino Christopher M, Mundinger Gerhard S, Kuwayama David P, Yang Stephen C, Sussman Marc S
Department of Surgery, Johns Hopkins Bayview Medical Center, Baltimore, MD, USA.
Eplasty. 2009;9:e1. Epub 2009 Jan 7.
This article describes a patient who developed severe subcutaneous emphysema and a persistent air leak after several attempts at needle thoracostomy for what was thought to be a tension pneumothorax. Subcutaneous emphysema was effectively treated with a topical negative pressure wound therapy dressing applied to a typical subfacial "blowhole" incision. This article aims to describe and contextualize the use of negative pressure wound therapy within the existing treatment options for subcutaneous emphysema.
A case report of the clinical course and technique was drafted, and the relevant literature in PubMed was reviewed.
The level of subcutaneous emphysema decreased significantly within 48 hours of negative pressure wound therapy as confirmed with physical examination and computed tomography scans. Negative pressure wound therapy for subcutaneous emphysema has not been previously described in the literature.
Negative pressure wound therapy applied over subfascial incisions is a novel technique that effectively and rapidly controlled massive subcutaneous emphysema and persistent air leak. This technique may be efficacious in other cases of subcutaneous emphysema.
本文描述了一名患者，在多次尝试对被认为是张力性气胸进行针胸造口术后出现了严重的皮下气肿和持续漏气。通过对典型的皮下“气孔”切口应用局部负压伤口治疗敷料，有效治疗了皮下气肿。本文旨在描述负压伤口治疗在皮下气肿现有治疗方案中的应用并进行背景分析。
起草了一份关于临床病程和技术的病例报告，并对PubMed中的相关文献进行了综述。
体格检查和计算机断层扫描证实，负压伤口治疗48小时内皮下气肿水平显著降低。负压伤口治疗皮下气肿此前在文献中未见描述。
在筋膜下切口上应用负压伤口治疗是一种新技术，可有效且迅速地控制大量皮下气肿和持续漏气。该技术在其他皮下气肿病例中可能有效。
