Carleton Lena, Eilbert Wesley, Grant Randall
Department of Emergency Medicine College of Medicine University of Illinois Chicago USA.
J Am Coll Emerg Physicians Open. 2023 Oct 11;4(5):e13054. doi: 10.1002/emp2.13054. eCollection 2023 Oct.
Subcutaneous emphysema (SCE) seen in the emergency department is usually the result of traumatic chest injuries, surgical complications, or invasive airway procedures. SCE is usually a self-limiting phenomenon involving the chest wall and neck, though may progress to involve the deeper tissues leading to respiratory and cardiovascular compromise. Emergent intervention is indicated in such cases of extensive SCE, though the ideal approach to its management is not known. We report a case of successful decompression of extensive SCE using subcutaneous placement of angiocatheters.
急诊科所见的皮下气肿(SCE)通常是胸部创伤、手术并发症或侵入性气道操作的结果。SCE通常是一种自限性现象,累及胸壁和颈部,尽管可能进展至累及深部组织,导致呼吸和心血管功能受损。在广泛SCE的此类病例中需要紧急干预,不过其理想的处理方法尚不清楚。我们报告一例通过皮下置入血管导管成功减压广泛SCE的病例。