Redleaf M I, Fennessy J J
Department of Surgery, Section of Otolaryngology-Head and Neck Surgery, University of Chicago Medical Center, IL 60637, USA.
Ann Otol Rhinol Laryngol. 1995 Dec;104(12):955-6. doi: 10.1177/000348949510401207.
The accumulation of extrapulmonary air is a well-known complication of airway endoscopic procedures. However, pulmonic disease alone can predispose toward pneumomediastinum and pneumothorax, without iatrogenic manipulation. In this case, a portable chest radiograph diagnosed the cause of the sudden accumulation of extrapulmonary air after rigid bronchoscopy as alveolar rupture, rather than iatrogenic airway perforation. The pathophysiology of pneumothorax and pneumomediastinum and the interpretation of chest radiographs in these situations is reviewed.
肺外气体积聚是气道内镜手术中一种众所周知的并发症。然而，仅肺部疾病本身就可能导致纵隔气肿和气胸，而无需医源性操作。在本病例中，便携式胸部X光片诊断出硬质支气管镜检查后肺外气体突然积聚的原因是肺泡破裂，而非医源性气道穿孔。本文综述了气胸和纵隔气肿的病理生理学以及这些情况下胸部X光片的解读。
