产后自发性纵隔气肿“哈曼综合征”
Postpartum spontaneous pneumomediastinum 'Hamman's syndrome'.
作者信息
Kouki Sami, Fares Abd Allah
机构信息
Military Hospital of Tunis, Montfleury, Tunisia.
出版信息
BMJ Case Rep. 2013 Sep 3;2013:bcr2013010354. doi: 10.1136/bcr-2013-010354.
Abstract
Spontaneous pneumomediastinum and subcutaneous emphysema (Hamman's syndrome) are rare but potentially dangerous complications of labour. The authors reported a case of a 23-year-old primigravida, admitted to our hospital for delivery after 40 weeks of pregnancy. She delivered a baby of 4.27 kg after 9 h from the start of labour. A few minutes after delivery, the patient developed dyspnoea and chest tightness, which made her doctor suspect pulmonary embolism. A chest X-ray and CT scan revealed pneumomediastinum and subcutaneous emphysema. The patient had been followed up for 3 days in our hospital, without specific therapy.
摘要
自发性纵隔气肿和皮下气肿（哈曼综合征）是分娩时罕见但潜在危险的并发症。作者报告了一例23岁初产妇的病例，该产妇在怀孕40周后入院分娩。她从分娩开始9小时后产下一名体重4.27千克的婴儿。分娩后几分钟，患者出现呼吸困难和胸闷，这使她的医生怀疑是肺栓塞。胸部X线和CT扫描显示纵隔气肿和皮下气肿。该患者在我院接受了3天的随访，未进行特殊治疗。
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