纵隔气肿作为青少年和年轻成年哮喘患者的一种并发症。

Pneumomediastinum as a complication of asthma in teenage and young adult patients.

作者信息

Dattwyler R J, Goldman M A, Bloch K J

出版信息

J Allergy Clin Immunol. 1979 Jun;63(6):412-6. doi: 10.1016/0091-6749(79)90215-x.

Abstract

The characteristics of 11 patients (age range, 13 to 31 yr) with asthma complicated by pneumomediastinum are presented. Nine of 11 patients were male. Cough and chest pain were prominent symptoms in the affected individuals. Subcutaneous emphysema was noted in all but 1 patient who presented with an unusual radiographic finding: a radiolucent rim surrounding the pulmonary artery. Hamman's sign was detected in 7 patients. None of the patients required specific therapy for pneumomediastinum. The pathophysiology of pneumomediastinum was reviewed.

摘要

本文介绍了11例（年龄范围为13至31岁）哮喘合并纵隔气肿患者的特征。11例患者中有9例为男性。咳嗽和胸痛是这些患者的主要症状。除1例患者出现异常影像学表现（肺动脉周围有透亮边缘）外，其余患者均有皮下气肿。7例患者检测到Hamman征。所有患者均无需针对纵隔气肿进行特殊治疗。本文对纵隔气肿的病理生理学进行了综述。