Bratton S L, O'Rourke P P
Department of Anesthesiology, University of Washington School of Medicine, Seattle.
J Emerg Med. 1993 Sep-Oct;11(5):525-9. doi: 10.1016/0736-4679(93)90305-q.
A case of spontaneous pneumomediastinum with cervical emphysema is reported. Spontaneous pneumomediastinum may complicate processes that decrease pulmonary interstitial pressure or increase intraalveolar pressure leading to alveolar rupture. Free air may then tract along blood vessels and decompress into the soft tissues of the neck. Clinical symptoms include neck and chest pain, dysphonia, and shortness of breath. Care is supportive unless the patient has a history of trauma or foreign body aspiration. Symptoms typically resolve within days.
报告了一例伴有颈部气肿的自发性纵隔气肿病例。自发性纵隔气肿可能并发于降低肺间质压力或增加肺泡内压力从而导致肺泡破裂的过程。然后，游离气体可能沿血管蔓延并减压至颈部软组织。临床症状包括颈部和胸部疼痛、声音嘶哑和呼吸急促。除非患者有外伤或异物吸入史，否则治疗以支持治疗为主。症状通常在数天内缓解。
