Reiche-Fischel O, Helfrick J F
Department of Oral and Maxillofacial Surgery, University of Texas Health Science Center at Houston, USA.
J Oral Maxillofac Surg. 1995 Sep;53(9):1103-7. doi: 10.1016/0278-2391(95)90133-7.
Two cases of life-threatening body emphysema with decompensating pneumothoraces, pneumomediastinum, and pneumopericardium intraoperatively have been presented. The most likely cause was tracheal perforation combined with high pressure ventilation. Although subcutaneous emphysema and pneumomediastinum are self-limiting conditions with rapid recovery with conservative treatment, life-threatening complications may arise requiring prompt recognition and specific surgical management in order to save the patient's life.
本文报告了两例术中出现危及生命的全身气肿，并伴有失代偿性气胸、纵隔气肿和心包积气的病例。最可能的原因是气管穿孔合并高压通气。虽然皮下气肿和纵隔气肿是自限性疾病，保守治疗后可迅速恢复，但可能会出现危及生命的并发症，需要及时识别并采取特定的手术治疗，以挽救患者生命。
