Flores-Franco René Agustín, Baranda-Márquez Marco Antonio, Salas-Solorio Luz Adriana
Instituto Mexicano del Seguro Social, Hospital General Regional de Zona 1, Unidad “Morelos”, Servicio de Medicina Interna. Chihuahua, Chihuahua, México
Rev Med Inst Mex Seguro Soc. 2019 Mar 15;56(6):566-569.
The physiological properties of the interstitial subcutaneous tissue of the limbs could bring the abnormal distribution of air coming from superficial trauma of the skin. We present the case of a young woman who developed subcutaneous emphysema after a superficial trauma and discussed the differential diagnosis and treatment.
A teenager woman 13 years old had subcutaneous emphysema in the left arm, following the scratch produced by her cat, of two months of evolution, without signs suggestive of local or systemic infection, it was resolved spontaneously during the period of observation. During this period she also presented subcutaneous emphysema in the right arm as a complication of a peripheral venous access performed for the administration of parenteral solutions, in the same way, it resolved spontaneously within a few days.
Benign subcutaneous emphysema is a rare clinical condition which should be considered only after the exclusion of other pathologies that require a more aggressive early medical intervention, such as necrotizing fasciitis, which, if not detected in a timely manner, could endanger life.
肢体皮下组织的生理特性可能导致因皮肤浅表创伤而出现空气异常分布。我们报告一例年轻女性在浅表创伤后发生皮下气肿的病例，并讨论其鉴别诊断和治疗方法。
一名13岁青少年女性，因被猫抓伤后，左手臂出现皮下气肿，病程两个月，无局部或全身感染迹象，在观察期间自行消退。在此期间，她右臂也出现皮下气肿，这是因静脉输注肠外营养液外周静脉置管引发的并发症，同样在数天内自行消退。
良性皮下气肿是一种罕见的临床病症，仅在排除其他需要早期积极医学干预的病理情况后才应予以考虑，如坏死性筋膜炎，若未及时发现，可能危及生命。
