Kawamoto R
Department of Internal Medicine, Nomura Municipal Hospital, Ehime, Japan.
Nihon Kyobu Shikkan Gakkai Zasshi. 1990 Jun;28(6):913-6.
A case of a 16-year-old female with bronchial asthma complicated with mediastinal, subcutaneous, peritoneal and epidural emphysema was reported. The patient was admitted to our hospital because of dyspnea. Chest and abdominal X-ray films revealed mediastinal emphysema with peribronchial air sheath, subcutaneous emphysema in the neck and chest, and peritoneal emphysema. CT-scan revealed severe mediastinal, subcutaneous and epidural emphysema. These findings disappeared about 10 days after recovery from the attack. Diagnostic methods and the pathogenesis of air leak were also discussed.
报告了一例16岁女性支气管哮喘合并纵隔、皮下、腹膜及硬膜外气肿的病例。患者因呼吸困难入院。胸部及腹部X线片显示纵隔气肿伴支气管周围气鞘、颈部及胸部皮下气肿以及腹膜气肿。CT扫描显示严重的纵隔、皮下及硬膜外气肿。这些表现于发作缓解后约10天消失。文中还讨论了诊断方法及气体泄漏的发病机制。