Montesano-Delfín J R, Mascareñas-Ponce A
Hospital Rural de Solidaridad Papantla, Programa IMSS-Solidaridad, Veracruz, México.
Bol Med Hosp Infant Mex. 1991 Mar;48(3):173-7.
This is a three case study report of children with measles which later progressed to bronchopneumonia and subcutaneous emphysema. All three children were from farming families, and none had been previously vaccinate against measles. For a period of six months, 183 cases of measles were treated at our hospital of which only three worsened to subcutaneous emphysema, demonstrating an incidence rate of 1.6%; they also showed to have bronchopneumonia, with severe coughing episodes; which made us recall the possible physiopathology principle of the pressure gradient theory behind this complication proposed by Bloch in 1968. The factors related to our patients suggested a more severe and aggresive type of measles with a greater probability of having complications. The prognostic value of the severity of this type of measles in the presence of subcutaneous emphysema is limited and its management should be primarly focused on treating the added bronchial problem.
这是一份关于患麻疹儿童的三例病例研究报告，这些儿童后来发展为支气管肺炎和皮下气肿。所有三名儿童均来自务农家庭，且之前均未接种过麻疹疫苗。在六个月的时间里，我院共治疗了183例麻疹病例，其中只有三例病情恶化为皮下气肿，发病率为1.6%；他们还患有支气管肺炎，伴有严重咳嗽发作；这使我们回想起1968年布洛赫提出的该并发症背后压力梯度理论的可能病理生理原理。与我们的患者相关的因素表明，这种麻疹类型更为严重和侵袭性更强，发生并发症的可能性更大。这种伴有皮下气肿的麻疹严重程度的预后价值有限，其治疗应主要侧重于治疗新增的支气管问题。
