Morimoto K, Matsuda N, Kanaoka Y, Tanaka K, Ogawa M, Iwanaga Y
Department of Surgery, National Hamada Hospital, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1994 Aug;42(8):1184-7.
A 70-year-old male was admitted to our hospital with chest bruise, resulting in fracture of the right rib. Nine hours later, the patient came to use again with a chief complaint of dyspnea and chest oppression. He had extensive subcutaneous emphysema in the upper half of the body. Chest X-ray films revealed remarkable mediastinal emphysema and collapse in a part of right lung. Chest CT scan disclosed enlargement of extrapleural cavity. These findings suggested progression of mediastinal emphysema. Continuous drainage to the extrapleural cavity was performed and the clinical course was uneventful. Thus, a satisfactory result can be obtained by extrapleural drainage in a patient with severe mediastinal emphysema.
一名70岁男性因胸部挫伤入院，导致右侧肋骨骨折。9小时后，患者再次前来就诊，主诉为呼吸困难和胸部憋闷。他上半身出现广泛皮下气肿。胸部X线片显示纵隔气肿明显，右肺部分萎陷。胸部CT扫描显示胸膜外腔增大。这些发现提示纵隔气肿进展。对胸膜外腔进行持续引流，临床过程平稳。因此，对于严重纵隔气肿患者，胸膜外引流可取得满意效果。
