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皮下引流迅速缓解导致呼吸衰竭的严重皮下气肿

Rapid resolution of severe subcutaneous emphysema causing respiratory failure with subcutaneous drain.

作者信息

Mustafa Ala, Heleno Caio, Summerfield Douglas T

机构信息

MercyOne North Iowa Medical Center, Mason City, IA, USA.

出版信息

SAGE Open Med Case Rep. 2021 Mar 3;9:2050313X21997196. doi: 10.1177/2050313X21997196. eCollection 2021.

Abstract

This case reports on a critically ill patient (Male, 74) with severe subcutaneous emphysema which progressed to causing respiratory distress. We document both the severity of the condition we observed and then present a novel intervention. In this case, we decompressed the patient at the intensive care unit-bedside and resolved the condition. While subcutaneous emphysema is relatively common, the severity of the condition we observed, and the lack of definitive treatment guidance have prompted us to present this case as a plausible treatment guide.

摘要

本病例报告了一名危重症患者(男性,74岁),患有严重的皮下气肿,病情进展至引起呼吸窘迫。我们记录了所观察到的病情严重程度,然后介绍了一种新的干预措施。在此病例中,我们在重症监护病房床边为患者进行了减压,病情得到缓解。虽然皮下气肿相对常见,但我们所观察到的病情严重程度以及缺乏明确的治疗指导促使我们将此病例作为一种可行的治疗指南予以呈现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dd8/7940768/fe9ccf49f4c2/10.1177_2050313X21997196-fig1.jpg

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