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[自发性纵隔气肿：年轻成年人中一种罕见的良性诊断（病例报告）]

[Spontaneous pneumomediastinum: a rare benign diagnosis in young adults (a case report)].

作者信息

Yousfi Fatima Zahra, Guerrouj Sofia, Thouil Afafe, Kouismi Hatim

机构信息

Centre Hospitalier Universitaire Mohammed VI Oujda, Faculté de Médecine et de Pharmacie, Oujda, Maroc.

出版信息

Pan Afr Med J. 2021 Mar 5;38:238. doi: 10.11604/pamj.2021.38.238.27011. eCollection 2021.

DOI:10.11604/pamj.2021.38.238.27011
PMID:34603571
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8460120/
Abstract

Spontaneous pneumomediastinum is defined as the presence of air in the mediastinum. It is not iatrogenic, due to a trauma or underlying lung disease. It is a rare condition affecting young adults and adolescents. The main risk of diagnostic error is due to the fact that features can be confused with those of aerodigestive fistula, sometimes leading to investigations and unnecessary and sometimes deleterious therapeutic measures. We here report a case of spontaneous, vomiting-induced pneumomediastinum in a young woman.

摘要

自发性纵隔气肿定义为纵隔内存在气体。它并非医源性的，也不是由创伤或潜在肺部疾病引起的。这是一种罕见的病症，主要影响年轻人和青少年。诊断错误的主要风险在于其特征可能与气管食管瘘的特征相混淆，有时会导致进行不必要的检查以及采取有时甚至有害的治疗措施。我们在此报告一例年轻女性因呕吐诱发的自发性纵隔气肿病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0c5/8460120/530ae0efd244/PAMJ-38-238-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0c5/8460120/70e51290ffb1/PAMJ-38-238-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0c5/8460120/78f69f8109e9/PAMJ-38-238-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0c5/8460120/530ae0efd244/PAMJ-38-238-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0c5/8460120/70e51290ffb1/PAMJ-38-238-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0c5/8460120/78f69f8109e9/PAMJ-38-238-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0c5/8460120/530ae0efd244/PAMJ-38-238-g003.jpg

相似文献

1
[Spontaneous pneumomediastinum: a rare benign diagnosis in young adults (a case report)].[自发性纵隔气肿：年轻成年人中一种罕见的良性诊断（病例报告）]
Pan Afr Med J. 2021 Mar 5;38:238. doi: 10.11604/pamj.2021.38.238.27011. eCollection 2021.
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Vomiting-induced pneumomediastinum and subcutaneous emphysema does not always indicate Boerhaave's syndrome: report of six cases.呕吐所致纵隔气肿和皮下气肿并不总是提示博雷尔哈夫综合征：6例报告
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本文引用的文献

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Spontaneous pneumomediastinum: an algorithm for diagnosis and management.自发性纵隔气肿：诊断与治疗的算法。
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Spontaneous pneumomediastinum: diagnostic and therapeutic interventions.自发性纵隔气肿：诊断与治疗干预措施
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3
Vomiting-induced pneumomediastinum and subcutaneous emphysema does not always indicate Boerhaave's syndrome: report of six cases.呕吐所致纵隔气肿和皮下气肿并不总是提示博雷尔哈夫综合征：6例报告
Surg Today. 2007;37(10):888-92. doi: 10.1007/s00595-006-3493-1. Epub 2007 Sep 26.
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[Spontaneous pneumomediastinum].[自发性纵隔气肿]
An Sist Sanit Navar. 2006 May-Aug;29(2):275-8. doi: 10.4321/s1137-66272006000300011.
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Spontaneous pneumomediastinum: a benign curiosity or a significant problem?自发性纵隔气肿：是良性奇症还是重大问题？
Chest. 2005 Nov;128(5):3298-302. doi: 10.1378/chest.128.5.3298.
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Sports-related spontaneous pneumomediastinum.运动相关性自发性纵隔气肿
Ann Thorac Surg. 2004 Sep;78(3):983-6. doi: 10.1016/j.athoracsur.2004.03.017.
7
Primary esophageal repair for Boerhaave's syndrome whatever the free interval between perforation and treatment.无论穿孔与治疗之间的间隔时间长短，均对Boerhaave综合征进行一期食管修复。
Eur J Cardiothorac Surg. 2004 Apr;25(4):475-9. doi: 10.1016/j.ejcts.2003.12.029.
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Spontaneous pneumomediastinum: a rare benign entity.自发性纵隔气肿：一种罕见的良性病症。
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