Anesthesiology Department, The Second Affiliated Hospital of Southern University of Science and Technology, The Third People's Hospital of Shenzhen, Shenzhen, Guangdong, China.
Thoracic Surgery Department, The Second Affiliated Hospital of Southern University of Science and Technology, The Third People's Hospital of Shenzhen, Shenzhen, Guangdong, China.
Interact Cardiovasc Thorac Surg. 2022 Jul 9;35(2). doi: 10.1093/icvts/ivac079.
We report a patient with severe spontaneous pneumomediastinum (SPM), pneumothorax and widespread subcutaneous emphysema with acute epiglottitis after inhaling pepper spray. The effects of pepper spray, which is a lachrymatory agent, on the respiratory system have not been reported. Upper airway obstruction is not a well-described cause of SPM, with which subcutaneous emphysema and pneumothorax might coexist; thus, mechanical ventilation might be detrimental.
我们报告了一例患者，其在吸入胡椒粉喷雾后出现严重自发性纵隔气肿（SPM）、气胸和广泛皮下气肿伴急性会厌炎。胡椒粉喷雾是一种催泪剂，但其对呼吸系统的影响尚未见报道。上呼吸道梗阻并不是 SPM 的一个明确病因，此时可能同时存在皮下气肿和气胸；因此，机械通气可能有害。
