Swords Chloe, Tan Neil Cheng-Wen, Jonas Nico
Department of Paediatric Otolaryngology, Addenbrooke's Hospital, Cambridge, CB2 0QQ, UK.
Department of Paediatric Otolaryngology, Addenbrooke's Hospital, Cambridge, CB2 0QQ, UK.
Int J Pediatr Otorhinolaryngol. 2017 Oct;101:241-245. doi: 10.1016/j.ijporl.2017.07.041. Epub 2017 Jul 27.
Three patients presented within a 6-month period with pneumomediastinum. The underlying cause in each was distinct. One case occurred due to blunt laryngeal trauma and required urgent surgical intervention due to a decompensating airway. The second case was related to tracheal perforation secondary to a myofibroblastic tracheal tumour and the final case was related to adenovirus upper respiratory tract infection. Pneumomediastinum may be spontaneous or secondary to an underlying cause. Children should be managed using a multidisciplinary approach. Investigation and management should be influenced by clinical stability and invasive procedures should only be considered in patients who exhibit respiratory distress.
在6个月内有3例患者出现纵隔气肿。每例患者的潜在病因各不相同。1例因钝性喉外伤导致，因气道失代偿而需要紧急手术干预。第2例与肌成纤维细胞性气管肿瘤继发的气管穿孔有关，最后1例与腺病毒上呼吸道感染有关。纵隔气肿可能是自发性的，也可能继发于潜在病因。儿童应采用多学科方法进行管理。检查和管理应受临床稳定性影响，侵入性操作仅应考虑用于出现呼吸窘迫的患者。
