Hirata Akiko, Yonezawa Naoki, Fukasawa Miho, Fujisawa Michiko
Department of Emergency and Critical Care Medicine Yokohama City Minato Red Cross Hospital Yokohama Kanagawa Japan.
Clin Case Rep. 2023 May 18;11(5):e7356. doi: 10.1002/ccr3.7356. eCollection 2023 May.
Epidural pneumatosis and pneumomediastinum are rare, benign complications of diabetic ketoacidosis. As they can mimic serious conditions including esophageal rupture, diagnostic evaluation, and attentive monitoring are crucial.
Diabetic ketoacidosis can rarely present with epidural pneumatosis and pneumomediastinum, possibly due to forceful vomiting and Kussmaul breathing. Recognizing these pneumocomplications is crucial, as they can mimic severe conditions, including esophageal rupture. Consequently, diagnostic workup and vigilant monitoring are critical, even though these pneumocomplications are typically benign and self-resolving.
硬膜外积气和纵隔积气是糖尿病酮症酸中毒罕见的良性并发症。由于它们可类似包括食管破裂在内的严重情况，因此诊断评估和密切监测至关重要。
糖尿病酮症酸中毒很少会出现硬膜外积气和纵隔积气，可能是由于剧烈呕吐和库斯莫尔呼吸所致。认识到这些肺部并发症至关重要，因为它们可类似包括食管破裂在内的严重情况。因此，尽管这些肺部并发症通常是良性且可自行缓解的，但诊断检查和严密监测仍至关重要。
