Alvarez Z Carlos, Jadue T Andrés, Rojas R Francisco, Cerda C César, Ramírez V Miguel, Cornejo S Carlos
Departamento de Cirugía, Facultad de Ciencias Médicas, Universidad de Santiago de Chile (USACH), Chile.
Rev Med Chil. 2009 Aug;137(8):1045-50. Epub 2009 Nov 4.
Hamman syndrome or spontaneous pneumomediastinum is uncommon and its clinical manifestations are chest pain, dyspnea and subcutaneous emphysema.
To report a series of patients with spontaneous pneumomediastinum.
Medical records of patients with the diagnosis of pneumomediastinum, managed between 2002 and 2007 in a public hospital, were retrieved and reviewed.
Eight patients aged between 16 and 41 years (five males) were identified. The most common symptom was chest pain and the most common sign was subcutaneous emphysema. A chest X ray was performed in all and a chest CT scan in seven. AH were managed conservatively with oxygen, analgesia and rest. No patient required surgery and the evolution was favorable.
The most common presenting complaint of spontaneous pneumomediastinum is chest pain and its management does not require surgery.
Hamman综合征或自发性纵隔气肿并不常见，其临床表现为胸痛、呼吸困难和皮下气肿。
报告一系列自发性纵隔气肿患者。
检索并回顾了2002年至2007年在一家公立医院接受治疗的纵隔气肿患者的病历。
确定了8例年龄在16至41岁之间的患者（5例男性）。最常见的症状是胸痛，最常见的体征是皮下气肿。所有患者均进行了胸部X线检查，7例进行了胸部CT扫描。所有患者均采用吸氧、镇痛和休息等保守治疗。无一例患者需要手术，病情进展良好。
自发性纵隔气肿最常见的主诉是胸痛，其治疗不需要手术。
