Elmoqaddem Amine, Serghini Issam, Janah Hicham, Chouikh Chakib, Alaoui Amine, Bensghir Mustapha
Pôle d'Anesthésie Réanimation HMIMV Rabat, Maroc.
Service de Réanimation, Hôpital Militaire Avicenne Marrackech, Maroc.
Pan Afr Med J. 2016 Oct 18;25:94. doi: 10.11604/pamj.2016.25.94.9957. eCollection 2016.
Spontaneous pneumomediastinum is a rare disease. It especially affects young adults. The onset is usually sudden, involving chest pain, subcutaneous emphysema and dyspnea. We report the case of a 24-year old asthmatic patient with pneumomediastinum after coughing effort. The patient presented with acute respiratory failure associated with retrosternal chest pain. Chest X-ray confirmed the diagnosis of pneumomediastinum. The patient evolved favorably within 4 days after exsufflation, oxygen therapy and conventional medical treatment.
自发性纵隔气肿是一种罕见疾病。它尤其影响年轻成年人。起病通常突然，包括胸痛、皮下气肿和呼吸困难。我们报告一例24岁哮喘患者在剧烈咳嗽后发生纵隔气肿的病例。该患者表现为急性呼吸衰竭并伴有胸骨后胸痛。胸部X线证实了纵隔气肿的诊断。患者在进行呼气末正压通气、氧疗和常规药物治疗后4天内病情好转。
