Ringvold Christine Helene Opedal, Møller Weinreich Ulla
Department of Psychiatry, Ringerike Hospital, Ringerike, Norway.
Department of Respiratory Diseases, Aalborg University Hospital, Aalborg, Denmark.
SAGE Open Med Case Rep. 2019 Aug 22;7:2050313X19870970. doi: 10.1177/2050313X19870970. eCollection 2019.
Subcutaneous emphysema, the presence of air under the subcutaneous tissues, often arises in relation to pneumothorax, including iatrogenic pneumothorax. It can arise as a consequence of chest drain insertion and removal. This case report describes worsening of subcutaneous emphysema subsequent to chest drain removal, leading to tardive and life-threatening subcutaneous emphysema. There are few international guidelines describing chest drain removal and there are few reports describing tardive subcutaneous emphysema. These areas need further exploration using evidence-based research in order to develop a consensus on treatment options.
皮下气肿,即皮下组织内存在气体,常与气胸相关,包括医源性气胸。它可因胸腔引流管的插入和拔除而出现。本病例报告描述了胸腔引流管拔除后皮下气肿的恶化情况,导致迟发性且危及生命的皮下气肿。描述胸腔引流管拔除的国际指南很少,描述迟发性皮下气肿的报告也很少。这些领域需要通过循证研究进行进一步探索,以便就治疗方案达成共识。