一位 73 岁男性，在拔除胸腔引流管后出现进行性全身皮下积气。

A 73-Year-Old Man With Progressive Whole Body Subcutaneous Gas After Pleural Catheter Removal.

机构信息

Department of Medical Education & Clinical Sciences, Washington State University Elson S. Floyd College of Medicine, Spokane, WA; Pulmonary Medicine, Providence Medical Group, Spokane, WA.

Division of Respiratory, Critical Care, & Occupational Pulmonary Medicine, University of Utah, Salt Lake City, UT.

出版信息

Chest. 2019 Apr;155(4):e97-e100. doi: 10.1016/j.chest.2018.09.012.

DOI:10.1016/j.chest.2018.09.012

PMID:30955587

Abstract

A 73-year-old man presented to the ED of an outside hospital with asymptomatic chest wall swelling 10 h after discharge from our hospital. Four days earlier, he had presented to our hospital with increased dyspnea, cough, and sputum production. His history was notable for severe COPD with bullous emphysema. Chest imaging demonstrated bilateral opacities and a collection of gas and liquid in the major fissure of the left lung. A catheter was placed into the collection of gas and liquid under imaging guidance. After 4 days, the catheter was removed without event and the patient was discharged from the hospital with an extended course of antibiotics. Imaging performed in the ED revealed gas in the tissues of the chest wall and no evidence of a pneumothorax. He was transported back to our hospital by helicopter.

摘要

一位 73 岁男性在我院出院 10 小时后因无症状的胸壁肿胀到外院急诊科就诊。四天前，他因呼吸困难、咳嗽和咳痰到我院就诊。他的病史为严重 COPD 合并大疱性肺气肿。胸部影像学检查显示双侧肺不张和左肺主要裂的气体和液体积聚。在影像学引导下将导管插入气体和液体积聚处。4 天后，导管在无事件的情况下被取出，患者出院并接受了延长疗程的抗生素治疗。急诊科的影像学检查显示胸壁组织中有气体，没有气胸的证据。他被直升机转送到我院。