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纵隔气肿与双侧气胸的罕见关联。

Rare Association of Pneumomediastinum With Bilateral Pneumothorax.

作者信息

Saleem Noman, Saleem Rabia, Saleem Zara, Ajmal Usman

机构信息

Department of Forensic Medicine, Sahiwal Medical College, Sahiwal, PAK.

Neurosurgery, Punjab Institute of Neurosciences, Lahore, PAK.

出版信息

Cureus. 2020 Dec 15;12(12):e12091. doi: 10.7759/cureus.12091.

DOI:10.7759/cureus.12091
PMID:33489509
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7805511/
Abstract

Pneumomediastinum with bilateral pneumothorax is a clinical entity caused by infections, malignancy, or trauma, as in our case. Some patients present with pneumomediastinum secondary to trauma have esophageal, laryngeal, or tracheal injuries. A 16-year-old boy presented in the emergency department with complaints of shortness of breath and bruise on the chest after a history of the road traffic accident. Bilateral chest tube thoracotomy was done. Pneumomediastinum was suspected on X-ray chest and confirmed on computed tomography of the chest, which showed bilateral pneumothorax with pneumomediastinum. The patient was conservatively managed and discharged after 10 days.

摘要

纵隔气肿合并双侧气胸是一种由感染、恶性肿瘤或创伤引起的临床病症，就像我们这个病例一样。一些因创伤继发纵隔气肿的患者会出现食管、喉部或气管损伤。一名16岁男孩因交通事故后出现呼吸急促和胸部瘀伤而到急诊科就诊。进行了双侧胸腔闭式引流术。胸部X线怀疑有纵隔气肿，胸部计算机断层扫描予以证实，显示双侧气胸合并纵隔气肿。该患者接受了保守治疗，10天后出院。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eee7/7805511/2e2e0597f97a/cureus-0012-00000012091-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eee7/7805511/df4566364ca4/cureus-0012-00000012091-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eee7/7805511/07371519fc14/cureus-0012-00000012091-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eee7/7805511/2e2e0597f97a/cureus-0012-00000012091-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eee7/7805511/df4566364ca4/cureus-0012-00000012091-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eee7/7805511/07371519fc14/cureus-0012-00000012091-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eee7/7805511/2e2e0597f97a/cureus-0012-00000012091-i03.jpg

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Bilateral pneumothorax following a blunt trachea trauma.钝性气管创伤后双侧气胸。
Respir Med Case Rep. 2013 Sep 25;10:56-9. doi: 10.1016/j.rmcr.2013.08.003. eCollection 2013.
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Pneumomediastinum in blunt chest trauma: a case report and review of the literature.钝性胸部创伤所致纵隔气肿：一例病例报告及文献综述
Case Rep Emerg Med. 2014;2014:685381. doi: 10.1155/2014/685381. Epub 2014 Jul 9.
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