Ring A, Liebert T, Stern J
Abteilung für Allgemein-, Viszeral-, und Unfallchirurgie, Darmzentrum Ruhr, St.-Josefs-Hospital Dortmund-Süd, Wilhelm-Schmidt-Strasse 4, Dortmund, Germany.
Chirurg. 2010 Jun;81(6):568-71. doi: 10.1007/s00104-009-1696-x.
Pneumopericardium is a rare but serious finding. It may indicate severe chest trauma and be associated with tracheobronchial and oesophageal injuries. On the other hand, oesophageal rupture such as Boerhaave's syndrome may also be accompanied by pneumopericardium. A case of spontaneous pneumopericardium and pneumomediastinum after alcohol-induced emesis is reported. Tracheal, bronchial, and oesophageal injury were excluded by radiology and endoscopy. Interstitial lung emphysema is discussed as the pathogenesis.
心包积气是一种罕见但严重的表现。它可能提示严重的胸部创伤，并与气管支气管和食管损伤相关。另一方面，诸如博赫哈夫综合征之类的食管破裂也可能伴有心包积气。本文报告了一例酒精性呕吐后自发性心包积气和纵隔气肿的病例。通过影像学和内镜检查排除了气管、支气管和食管损伤。文中讨论了间质性肺气肿作为其发病机制。
