张力性纵隔气肿：一种确切形式的胸闷。
Tension pneumomediastinum: A literal form of chest tightness.
作者信息
Clancy David J, Lane Andrew S, Flynn Peter W, Seppelt Ian M
机构信息
Nepean Blue Mountains Local Health District, Derby St, Penrith, NSW, Australia.
Sydney Medical School, Derby St, Kingswood, Sydney, NSW, Australia.
出版信息
J Intensive Care Soc. 2017 Feb;18(1):52-56. doi: 10.1177/1751143716662665. Epub 2016 Aug 3.
Abstract
Tension pneumomediastinum is a rare and life-threatening complication of mediastinal emphysema which can occur with mechanical ventilation. We present a case of tension mediastinum associated with mechanical ventilation in a patient with Acute Respiratory Distress Syndrome due to pneumonia. We discuss the mechanism and pathophysiology of tension pneumomediastinum, the potential association with pneumonia and recruitment manouvres, and its definitive emergency treatment.
摘要
张力性纵隔气肿是纵隔气肿的一种罕见且危及生命的并发症，可发生于机械通气时。我们报告一例因肺炎导致急性呼吸窘迫综合征的患者发生与机械通气相关的张力性纵隔气肿的病例。我们讨论了张力性纵隔气肿的机制和病理生理学、与肺炎及肺复张手法的潜在关联以及其明确的紧急治疗方法。
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本文引用的文献
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Lancet. 2014 Feb 1;383(9915):486. doi: 10.1016/S0140-6736(13)62634-3.
2
Management of subcutaneous emphysema with "gills": case report and review of the literature.“鳃”法治疗皮下气肿：病例报告及文献综述
J Emerg Med. 2013 Nov;45(5):666-9. doi: 10.1016/j.jemermed.2013.04.052. Epub 2013 Aug 30.
3
Barotrauma-associated posterior tension pneumomediastinum, a rare cause of cardiac tamponade in a ventilated neonate: a case report and review of the literature.气压伤相关性张力性纵隔气肿，致机械通气新生儿心脏压塞的罕见病因：病例报告及文献复习。
Acta Paediatr. 2012 Mar;101(3):e142-4. doi: 10.1111/j.1651-2227.2011.02525.x. Epub 2011 Nov 29.
4
Cardiac arrest caused by tension pneumomediastinum in a Boerhaave syndrome patient.一名患有Boerhaave综合征的患者因张力性纵隔气肿导致心脏骤停。
Ann Thorac Surg. 2009 Apr;87(4):1257-8. doi: 10.1016/j.athoracsur.2008.08.009.
5
Outcome of HIV-associated Pneumocystis pneumonia in hospitalized patients from 2000 through 2003.2000年至2003年住院患者中与艾滋病病毒相关的肺孢子菌肺炎的转归
BMC Infect Dis. 2008 Sep 16;8:118. doi: 10.1186/1471-2334-8-118.
6
Pneumomediastinum and subcutaneous emphysema in status asthmaticus, requiring surgical decompression.哮喘持续状态下的纵隔气肿和皮下气肿，需手术减压。
Arch Dis Child. 1960 Aug;35(182):389-92. doi: 10.1136/adc.35.182.389.
7
Lung cysts associated with Pneumocystis carinii pneumonia: radiographic characteristics, natural history, and complications.与卡氏肺孢子虫肺炎相关的肺囊肿：影像学特征、自然病史及并发症
AJR Am J Roentgenol. 1993 Sep;161(3):527-31. doi: 10.2214/ajr.161.3.8352098.
8
Surgical decompression of a tension pneumomediastinum. A ventilatory complication of status asthmaticus.张力性纵隔气肿的手术减压。哮喘持续状态的一种通气并发症。
Chest. 1988 Jun;93(6):1301-2. doi: 10.1378/chest.93.6.1301.
9
Tension mediastinal emphysema: emergency percutaneous drainage with CT guidance.张力性纵隔气肿：CT引导下的急诊经皮引流
Eur J Radiol. 1992 Jul-Aug;15(1):7-10. doi: 10.1016/0720-048x(92)90193-d.
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