病因不明的儿童自发性纵隔气肿和皮下气肿。
Spontaneous pneumomediastinum and subcutaneous emphysema in a child with unknown aetiology.
作者信息
Chidambaram Anoopkishore, Donekal Sirisha
机构信息
Department of Emergency Medicine, Luton and Dunstable University Hospital NHS Foundation Trust, Luton, Bedfordshire, UK.
Department of Paediatrics, Luton and Dunstable University Hospital NHS Foundation Trust, Luton, Bedfordshire, UK.
出版信息
BMJ Case Rep. 2019 Feb 13;12(2):e226805. doi: 10.1136/bcr-2018-226805.
Spontaneous subcutaneous emphysema and pneumomediastinum in children without any predisposing factors is a rare entity. We present a case of an adolescent boy with spontaneous pneumomediastinum. He is a 14-year-old boy brought to the hospital with an odd feeling in the neck and chest. Initial chest X-ray revealed subcutaneous emphysema and pneumomediastinum. He was further evaluated with CT thorax and abdomen with contrast which revealed extensive pneumomediastinum with associated surgical emphysema in the chest wall and neck. Expert opinions from the cardiothoracic and respiratory teams were obtained. The child was discharged with safety netting and description of red flag signs. Repeat chest X-ray in 2 weeks showed complete resolution of the pneumomediastinum and subcutaneous emphysema. We will briefly discuss about the diagnosis and treatment of spontaneous pneumomediastinum and subcutaneous emphysema.
在没有任何诱发因素的情况下，儿童出现自发性皮下气肿和纵隔气肿是一种罕见的情况。我们报告一例青少年男性自发性纵隔气肿的病例。他是一名14岁男孩，因颈部和胸部有异样感觉被送往医院。最初的胸部X线检查显示皮下气肿和纵隔气肿。随后对其进行了胸部和腹部增强CT检查，结果显示广泛的纵隔气肿，并伴有胸壁和颈部的手术性气肿。我们征求了心胸外科和呼吸科团队的专家意见。该患儿在得到安全保障及红旗体征说明后出院。两周后复查胸部X线显示纵隔气肿和皮下气肿完全消退。我们将简要讨论自发性纵隔气肿和皮下气肿的诊断与治疗。
Zotero 插件