Olmstead David, Gelfand Gary, Anderson Ian, Kortbeek John B
Cumming School of Medicine, University of Calgary, Department of Surgery, South Health Campus, 4448 Front St SE, Calgary, AB T3M1M4, Canada.
Cumming School of Medicine, University of Calgary, Alberta Health Services, G33-1403 29 ST NW, Calgary, AB T2N 2T9, Canada.
Case Rep Med. 2018 Nov 25;2018:3103061. doi: 10.1155/2018/3103061. eCollection 2018.
In the acute management of a trauma patient, airway patency is of utmost importance. The present case describes a male patient who presented with delayed severe upper airway obstruction secondary to massive subcutaneous emphysema following blunt traumatic injury two days previously. Airway compromise is a rarely described but serious complication of subcutaneous emphysema. Current management of subcutaneous emphysema and its association with pneumothorax is summarized. Early decompression of underlying pneumothoraces in patients with significant subcutaneous emphysema should be performed to avoid this rare complication.
在创伤患者的急性处理中,气道通畅至关重要。本病例描述了一名男性患者,他在两天前钝性外伤后出现大量皮下气肿继发延迟性严重上气道梗阻。气道受压是皮下气肿一种很少被描述但严重的并发症。总结了皮下气肿的当前处理方法及其与气胸的关联。对于有明显皮下气肿的患者,应尽早对潜在气胸进行减压,以避免这种罕见的并发症。