Gupta Ankit, Palkar Atul Vijay, Narwal Priya
Pulmonary and Critical Care Medicine, Hartford HealthCare, Hartford, Connecticut, USA.
Rhode Island Hospital, Providence, Rhode Island, USA.
BMJ Case Rep. 2018 Jan 12;2018:bcr-2017-222756. doi: 10.1136/bcr-2017-222756.
A young man with a history of smoking presented with acute-onset chest pain after lifting weights. He also noticed a change in his voice, tightness in his neck and difficulty breathing. A chest radiograph showed soft tissue emphysema in the neck. A CT scan of the chest revealed moderate amount of pneumomediastinum tracking into the neck and down to the diaphragm. He was haemodynamically stable and had no hypoxia or dysphagia. He was monitored for 48 hours and discharged home after resolution of his symptoms. A chest radiograph repeated after 6 weeks was normal.
一名有吸烟史的年轻男子在举重后出现急性胸痛。他还注意到声音改变、颈部紧绷和呼吸困难。胸部X线片显示颈部软组织气肿。胸部CT扫描显示中等量的纵隔气肿延伸至颈部并向下至膈肌。他血流动力学稳定，无缺氧或吞咽困难。对他进行了48小时的监测，症状缓解后出院回家。6周后复查胸部X线片正常。
