Matuszczak Ewa, Oksiuta Marzanna, Hermanowicz Adam, Dębek Wojciech
Pediatric Surgery Department, Medical University of Białystok, Poland.
Kardiochir Torakochirurgia Pol. 2017 Mar;14(1):59-62. doi: 10.5114/kitp.2017.66934. Epub 2017 Mar 31.
The authors present a case of a pneumatocele associated with blunt trauma in a child. An 11-year-old boy was admitted to the emergency department after he was knocked over and his chest was trapped under a soccer goal. Chest computed tomography (CT) revealed several cavities in the lobes of both lungs. The CT of the abdomen revealed traumatic laceration of the liver. The patient was treated conservatively. His condition was stable and subsequently improved. He was discharged 19 days later. After nine months, a chest radiograph showed complete resolution of the pneumatocele, and abdominal ultrasound demonstrated complete resolution of the liver hematoma. A traumatic pneumatocele is a benign lesion resulting from blunt chest trauma, usually in children and young adults, which typically requires only conservative treatment. The CT scanning is the most sensitive method for the detection of traumatic pneumatoceles. All emergency physicians should be familiar with the diagnosis and management of this condition, to avoid unnecessary invasive procedures.
作者报告了一例儿童钝性创伤相关的肺气囊病例。一名11岁男孩被撞倒后胸部被压在足球门下方，随后被送往急诊科。胸部计算机断层扫描（CT）显示双肺叶有多个空洞。腹部CT显示肝脏有创伤性裂伤。患者接受了保守治疗。他的病情稳定，随后有所好转。19天后出院。九个月后，胸部X线片显示肺气囊完全消退，腹部超声显示肝血肿完全消退。创伤性肺气囊是钝性胸部创伤导致的良性病变，通常发生在儿童和年轻人中，通常仅需保守治疗。CT扫描是检测创伤性肺气囊最敏感的方法。所有急诊医生都应熟悉这种疾病的诊断和处理，以避免不必要的侵入性操作。
