Karakaya Zeynep, Demir Serafettin, Sagay Sönmez Serkan, Karakaya Olcay, Ozdinç Serife
Department of Emergency Medicine, Adana State Hospital, Adana, Turkey.
Case Rep Emerg Med. 2012;2012:242579. doi: 10.1155/2012/242579. Epub 2012 Dec 23.
Simultaneous bilateral spontaneous pneumothorax (SBSP) and pneumomediastinum are complications rarely observed synchronously during an acute asthma attack. It is a clinical condition that manifests itself with serious respiratory distress and must be rapidly diagnosed and treated. Although bilateral spontaneous pneumothorax has already been reported in asthma patients in the literature, its concurrence with subcutaneous emphysema and pneumomediastinum is extremely rare except for iatrogenic conditions. By sharing this case about a 39-year-old patient who presented to the emergency room with severe respiratory distress and developed cardiopulmonary arrest during his physical examination, our aim is to emphasize that a rapid diagnosis and treatment by the emergency physicians is the only way for survival in these patients.
同时性双侧自发性气胸（SBSP）和纵隔气肿是急性哮喘发作期间很少同时观察到的并发症。这是一种以严重呼吸窘迫为表现的临床病症，必须迅速诊断和治疗。虽然文献中已有哮喘患者发生双侧自发性气胸的报道，但除医源性情况外，其与皮下气肿和纵隔气肿同时发生极为罕见。通过分享这例39岁患者的病例，该患者因严重呼吸窘迫到急诊室就诊，在体格检查期间发生心肺骤停，我们旨在强调急诊医生进行快速诊断和治疗是这些患者生存的唯一途径。
