Russo A, Del Vecchio C, Zaottini A, Giangregorio C
Parodi Delfino Hospital, Rome, Italy.
G Chir. 2012 Aug-Sep;33(8-9):285-96.
Early identification of spontaneous pneumomediastinum in an Emergency Department is possible with thoracic ultrasound. We report two cases of spontaneous pneumomediastinum, diagnosed in a 26-year old man with chronic asthma and a 19-year old athlete, and discuss the role of thoracic US alongside conventional X-ray and thoracic CT in emergency medicine. The patients were transferred to an Emergency Department, where conservative treatment produced a good outcome. The greater sensitivity and specificity of thoracic US over conventional supine X-ray in the detection of occult pneumothorax is ever more appreciated. However, training in the diagnosis of pneumomediastinum is required.
在急诊科，通过胸部超声可以早期识别自发性纵隔气肿。我们报告了两例自发性纵隔气肿病例，分别诊断于一名患有慢性哮喘的26岁男性和一名19岁的运动员，并讨论了胸部超声在急诊医学中与传统X线和胸部CT相比的作用。患者被转至急诊科，在那里保守治疗取得了良好效果。胸部超声在检测隐匿性气胸方面比传统仰卧位X线具有更高的敏感性和特异性，这一点越来越受到重视。然而，在纵隔气肿的诊断方面仍需要培训。
