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采用皮下血管导管治疗广泛皮下气肿。

Extensive subcutaneous emphysema treated with subcutaneous angiocatheters.

作者信息

Carleton Lena, Eilbert Wesley, Grant Randall

机构信息

Department of Emergency Medicine College of Medicine University of Illinois Chicago USA.

出版信息

J Am Coll Emerg Physicians Open. 2023 Oct 11;4(5):e13054. doi: 10.1002/emp2.13054. eCollection 2023 Oct.

DOI:10.1002/emp2.13054
PMID:37840863
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10568045/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b890/10568045/93e4546ca256/EMP2-4-e13054-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b890/10568045/474c4ac77f3e/EMP2-4-e13054-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b890/10568045/93e4546ca256/EMP2-4-e13054-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b890/10568045/474c4ac77f3e/EMP2-4-e13054-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b890/10568045/93e4546ca256/EMP2-4-e13054-g002.jpg

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本文引用的文献

1
Decompression Technique Using Subcutaneous Angiocatheter Insertion to Relieve Extensive Subcutaneous Emphysema: A Case Report.皮下血管内导管插入减压技术治疗广泛皮下气肿：病例报告。
J Emerg Med. 2023 Apr;64(4):491-495. doi: 10.1016/j.jemermed.2023.02.019. Epub 2023 Mar 21.
2
Severe Subcutaneous Emphysema.严重皮下气肿
N Engl J Med. 2022 Sep 1;387(9):e18. doi: 10.1056/NEJMicm2200611. Epub 2022 Aug 27.
3
Management of extensive subcutaneous emphysema using negative pressure wound therapy dressings.使用负压伤口治疗敷料管理广泛性皮下气肿
Respirol Case Rep. 2020 Feb 27;8(3):e00544. doi: 10.1002/rcr2.544. eCollection 2020 Apr.
4
Rapid resolution of severe subcutaneous emphysema with simple percutaneous angiocatheter decompression.经皮简单血管导管减压术快速缓解严重皮下气肿
J Surg Case Rep. 2018 Jul 19;2018(7):rjy173. doi: 10.1093/jscr/rjy173. eCollection 2018 Jul.
5
Negative-pressure in treatment of persistent post-traumatic subcutaneous emphysema with respiratory failure: Case report and literature review.负压治疗创伤后持续性皮下气肿合并呼吸衰竭：病例报告及文献复习
Trauma Case Rep. 2017 Dec 15;13:42-45. doi: 10.1016/j.tcr.2017.12.001. eCollection 2018 Feb.
6
Management of extensive surgical emphysema with subcutaneous drain: A case report.皮下引流治疗广泛手术性气肿：一例报告。
Int J Surg Case Rep. 2018;44:126-130. doi: 10.1016/j.ijscr.2018.01.018. Epub 2018 Feb 9.
7
High negative pressure subcutaneous suction drain for managing debilitating subcutaneous emphysema secondary to tube thoracostomy for an iatrogenic post computed tomography guided transthoracic needle biopsy pneumothorax: Case report and review of literature.高负压皮下吸引引流术治疗因计算机断层扫描引导下经胸针吸活检气胸行胸腔闭式引流术后导致的难治性皮下气肿：病例报告及文献复习
Int J Surg Case Rep. 2016;26:138-41. doi: 10.1016/j.ijscr.2016.07.031. Epub 2016 Jul 27.
8
Classification and Management of Subcutaneous Emphysema: a 10-Year Experience.皮下气肿的分类与管理：十年经验
Indian J Surg. 2015 Dec;77(Suppl 2):673-7. doi: 10.1007/s12262-013-0975-4. Epub 2013 Oct 4.
9
Modified blowhole skin incision using negative pressure wound therapy in the treatment of ventilator-related severe subcutaneous emphysema.采用负压伤口治疗的改良气孔皮肤切口治疗呼吸机相关性严重皮下气肿
Interact Cardiovasc Thorac Surg. 2014 Dec;19(6):904-7. doi: 10.1093/icvts/ivu287. Epub 2014 Aug 27.
10
In patients with extensive subcutaneous emphysema, which technique achieves maximal clinical resolution: infraclavicular incisions, subcutaneous drain insertion or suction on in situ chest drain?在患有广泛皮下气肿的患者中，哪种技术能实现最大程度的临床缓解：锁骨下切口、皮下引流管置入还是对原位胸腔引流管进行吸引？
Interact Cardiovasc Thorac Surg. 2014 Jun;18(6):825-9. doi: 10.1093/icvts/ivt532. Epub 2014 Feb 26.