Tsay Chih-Yi, Chen Yu-Long, Chen Chien-Sheng, Lin Po-Chen, Wu Meng-Yu
Department of Emergency Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei City 231, Taiwan.
Department of Emergency Medicine, School of Medicine, Tzu Chi University, Hualien 970, Taiwan.
Children (Basel). 2020 Dec 11;7(12):287. doi: 10.3390/children7120287.
Pediatric spontaneous pneumomediastinum is an uncommon condition associated with infection, trauma, or coexisting structural lung pathology. Exercise-related spontaneous subcutaneous emphysema and pneumomediastinum are rarely reported. However, severe pneumomediastinum may coexist with pneumothorax, pneumorrhachis, and subcutaneous emphysema, which can potentially lead to serious complications, including airway obstruction and pneumorrhachis. Therefore, early diagnosis and timely management are important for physicians to determine the etiology and prevent further damage. Here, we present a case of exercise-related spontaneous subcutaneous emphysema and pneumomediastinum to highlight the pathogenesis and suggest therapeutic strategies.
小儿自发性纵隔气肿是一种与感染、创伤或并存的肺部结构病变相关的罕见病症。与运动相关的自发性皮下气肿和纵隔气肿鲜有报道。然而，严重的纵隔气肿可能与气胸、脊髓积气和皮下气肿并存，这可能会导致严重并发症，包括气道梗阻和脊髓积气。因此，早期诊断和及时处理对于医生确定病因及预防进一步损害至关重要。在此，我们报告一例与运动相关的自发性皮下气肿和纵隔气肿病例，以突出其发病机制并提出治疗策略。
