自发性纵隔气肿：11例分析
Spontaneous Pneumomediastinum: Analysis of 11 Cases.
作者信息
Haberal Miktat Arif, Dikis Ozlem Sengoren, Akar Erkan
机构信息
Department of Thoracic Surgery, University of Health Sciences Turkey, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa, Turkey.
Department of Pulmonary Diseases, University of Health Sciences Turkey, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa, Turkey.
出版信息
Sisli Etfal Hastan Tip Bul. 2021 Mar 17;55(1):49-52. doi: 10.14744/SEMB.2019.34022. eCollection 2021.
OBJECTIVES
The presence of free air in mediastinum is defined as pneumomediastinum. The incidence is between 1/7000-1/32000. In this study, our aim is to discuss our cases with spontaneous pneumomediastinum (SPM), which has low incidence, in the light of the literature.
METHODS
The files of 11 cases who were diagnosed with SPM in pulmonary diseases and thoracic surgery department and followed up and treated in thoracic surgery clinic between 2012-2018 were retrospectively analyzed. Patients' age, sex, etiological factors, diagnosis and treatment methods and hospital stay were evaluated.
RESULTS
Between the years of 2012-2018, 11 cases with SPM who were not related to trauma were detected. Nine (81.8%) of the patients were male; the median age was 38.5 years. Among the predisposing factors that played a role in the formation of SPM, the most common symptom was dyspnea, while the second most common symptom was coughing seizures. The median duration of hospitalization was 3.8 days, and no mortality was observed.
CONCLUSION
Spontaneous pneumomediastinum is a rare clinical condition, especially in young men. SPM treatment can be conservative or surgical.
目的
纵隔内出现游离气体被定义为纵隔气肿。其发病率在1/7000 - 1/32000之间。在本研究中，我们的目的是结合文献讨论我们所诊治的发病率较低的自发性纵隔气肿（SPM）病例。
方法
回顾性分析2012年至2018年期间在肺病与胸外科被诊断为SPM并在胸外科门诊接受随访和治疗的11例患者的病历。评估患者的年龄、性别、病因、诊断和治疗方法以及住院时间。
结果
在2012年至2018年期间，检测到11例与创伤无关的SPM病例。9例（81.8%）患者为男性；中位年龄为38.5岁。在导致SPM形成的诱发因素中，最常见的症状是呼吸困难，其次是咳嗽发作。中位住院时间为3.8天，未观察到死亡病例。
结论
自发性纵隔气肿是一种罕见的临床病症，尤其在年轻男性中。SPM的治疗可以是保守的或手术的。
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