Beeger R, Vogel H, Borchers H D, Darup I
Rontgenblatter. 1982 Apr;35(4):146-50.
A mediastinal emphysema was seen via x-ray film in 35 of 40 patients after opening of the mediastinum by longitudinal sternotomy. After about a week it was found in approximately every second patient; after 14 days it had been fully absorbed by all patients. Mediastinal emphysema could occur in conjunction with a cutaneous emphysema, and pneumothorax, respectively. Occasionally a pneumopericardium is seen even in the recumbent patient. Safe diagnosis of mediastinal emphysema is possible in the anterior lower mediastinum projected on to the cardiac silhouette if the x-ray film is taken obliquely.
在40例经纵向胸骨切开术打开纵隔的患者中，35例通过X线片观察到纵隔气肿。大约一周后，大约每两名患者中就有一人出现纵隔气肿；14天后，所有患者的纵隔气肿均已完全吸收。纵隔气肿可能分别与皮下气肿和气胸同时出现。偶尔，即使在卧位患者中也可见心包积气。如果斜位拍摄X线片，在前下纵隔投射到心脏轮廓处时，可对纵隔气肿进行可靠诊断。
