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巨大颈部皮下气肿导致的急性上气道梗阻:一例报告

Acute Upper Airway Obstruction Due to Massive Cervical Subcutaneous Emphysema: A Case Report.

作者信息

Hammoud Rani, Emam Fatima, Mohamed Suzan, Abdulkarim Hassanin

机构信息

Otolaryngology - Head and Neck Surgery, Hamad Medical Corporation, Doha, QAT.

Radiology, Hamad Medical Corporation, Doha, QAT.

出版信息

Cureus. 2023 Jan 30;15(1):e34420. doi: 10.7759/cureus.34420. eCollection 2023 Jan.

Abstract

With upper airway obstruction being an emergency, a high index of suspicion and proper and timely treatment planning are crucial to the patient's life. Spontaneous esophageal perforation, also known as Boerhaave syndrome, has been observed to cause subcutaneous emphysema; however, airway compromise secondary to subcutaneous emphysema is extremely rare when there is no associated broncho-tracheal injury. Here, we present a case of esophageal perforation complicated with cervical emphysema that led to acute airway obstruction requiring invasive ventilation.

摘要

上气道梗阻属于急症,高度的怀疑指数以及恰当及时的治疗规划对患者的生命至关重要。自发性食管穿孔,也称为博雷综合征,已观察到可导致皮下气肿;然而,在没有相关气管支气管损伤的情况下,继发于皮下气肿的气道受压极为罕见。在此,我们报告一例食管穿孔合并颈部气肿导致急性气道梗阻并需要有创通气的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f311/9978538/ad776b0af491/cureus-0015-00000034420-i01.jpg

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