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心包积气、硬膜外积气和肌肉气肿：妊娠剧吐所致自发性纵隔气肿的罕见并发症

Pneumopericardium, Epidural Pneumatosis, and Muscular Emphysema: Rare Complications of Spontaneous Pneumomediastinum Due to Refractory Hyperemesis Gravidarum.

作者信息

Russell Charles R, Benjamin Garnett, Salabei Joshua K, Okonoboh Peters, Sun Liang

机构信息

Internal Medicine, University of Central Florida College of Medicine/HCA Florida North Florida Hospital, Gainesville, USA.

Medicine, Trinity School of Medicine, Roswell, USA.

出版信息

Cureus. 2022 Apr 4;14(4):e23800. doi: 10.7759/cureus.23800. eCollection 2022 Apr.

DOI:10.7759/cureus.23800
PMID:35518530
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9066593/
Abstract

Various complications of hyperemesis gravidarum and pneumomediastinum have been documented in the literature. Commonly, these cases resolve spontaneously or with the use of antiemetics and supportive care. In rare instances, these symptoms persist into the second trimester and are associated with an increased risk of complications. Herein, we present a case of a healthy 20-year-old female with a history of marijuana use who presented with intractable nausea and vomiting and was found to have multiple rare complications of spontaneous pneumomediastinum.

摘要

文献中已记载了妊娠剧吐和气纵隔的各种并发症。通常，这些病例会自行缓解，或通过使用止吐药和支持性护理得以解决。在罕见情况下，这些症状会持续到孕中期，并伴有并发症风险增加。在此，我们报告一例健康的20岁女性病例，该女性有吸食大麻史，出现顽固性恶心和呕吐，被发现患有自发性气纵隔的多种罕见并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cb6/9066593/fa5927bc7193/cureus-0014-00000023800-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cb6/9066593/a67bf2c5a576/cureus-0014-00000023800-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cb6/9066593/dacb3013da49/cureus-0014-00000023800-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cb6/9066593/fa5927bc7193/cureus-0014-00000023800-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cb6/9066593/a67bf2c5a576/cureus-0014-00000023800-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cb6/9066593/dacb3013da49/cureus-0014-00000023800-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cb6/9066593/fa5927bc7193/cureus-0014-00000023800-i03.jpg

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本文引用的文献

1
Spontaneous pneumomediastinum secondary to hyperemesis gravidarum: A case report and principles of recognition and management.妊娠剧吐继发自发性纵隔气肿：一例报告及识别与处理原则
Case Rep Womens Health. 2020 Sep 30;28:e00257. doi: 10.1016/j.crwh.2020.e00257. eCollection 2020 Oct.
2
Pneumomediastinum.纵隔气肿。
J Thorac Dis. 2015 Feb;7(Suppl 1):S44-9. doi: 10.3978/j.issn.2072-1439.2015.01.11.
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Pneumomediastinum associated with pneumopericardium and epidural pneumatosis.纵隔气肿合并心包积气和硬膜外积气。
Case Rep Emerg Med. 2014;2014:275490. doi: 10.1155/2014/275490. Epub 2014 May 13.
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Cannabinoid hyperemesis syndrome.大麻素呕吐综合征
Curr Drug Abuse Rev. 2011 Dec;4(4):241-9. doi: 10.2174/1874473711104040241.
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Pneumomediastinum secondary to hyperemesis gravidarum during early pregnancy.孕早期妊娠剧吐继发纵隔气肿
Acta Obstet Gynecol Scand. 2001 Dec;80(12):1143-5. doi: 10.1034/j.1600-0412.2001.801214.x.
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Nausea and vomiting of pregnancy.妊娠恶心与呕吐
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