Jones Ronald, Kundrotas Leon
3rd MDW/MDOS, 5955 Zeamer Avenue, Elmendorf AFB, AK 99506, USA.
Mil Med. 2011 Mar;176(3):352-5. doi: 10.7205/milmed-d-10-00273.
A previously healthy 20-year-old male trainee developed chest pain, shortness of breath, and neck pain after repeatedly shouting "Hooah!" during a motivational squad competition. He was found to have developed a pneumomediastinum with soft tissue crepitus of the neck. He had an uneventful recovery. Unique to the military training environment, vigorous shouting, including "Hooah!" as a motivational stimulus, can have barotraumatic consequences. The term "spontaneous" as applied to a pneumomediastinum diagnosis is examined and the auscultatory finding of "Hamman's sign" is reviewed.
一名此前健康的20岁男性新兵在一次激励小队竞赛中反复呼喊“呼哈！”后，出现胸痛、呼吸急促和颈部疼痛。他被发现患有纵隔气肿并伴有颈部软组织捻发音。他康复过程顺利。在军事训练环境中独特的是，包括作为激励刺激的“呼哈！”在内的剧烈呼喊可能会产生气压伤后果。本文探讨了应用于纵隔气肿诊断的“自发性”一词，并回顾了“哈曼征”的听诊发现。
