Rugaard Marie Bender, Petersen Kathrine Birch
Gynækologisk og Obstetrisk Afdeling, Roskilde Sygehus, 4000 Roskilde, Denmark.
Ugeskr Laeger. 2011 Oct 10;173(41):2575-6.
Subcutaneous emphysema and pneumomediastinum were first described by Hamman in 1945. Spontaneous pneumomediastinum is an uncommon, self-limiting condition caused by alveolar rupture and usually results from bronchial hyper-reactivity or barotraumas. We report a case describing a 25 year old patient in her first pregnancy, who during active labour developed subcutaneous emphysema and pneumomediastinum. Pneumomediastinum in labour is a rare complication to Valsalva maneuver, and it is diagnosed with a computed tomography. The most common symptoms are chest pain, dyspnea, neck pain and odynophagia.
皮下气肿和纵隔气肿最早由哈曼于1945年描述。自发性纵隔气肿是一种由肺泡破裂引起的罕见的自限性疾病，通常由支气管高反应性或气压伤导致。我们报告一例病例，一名25岁初产妇在分娩活跃期出现皮下气肿和纵隔气肿。分娩时发生纵隔气肿是瓦尔萨尔瓦动作罕见的并发症，通过计算机断层扫描进行诊断。最常见的症状是胸痛、呼吸困难、颈部疼痛和吞咽痛。
