Chiba Y, Kakuta H
Department of Otolaryngology, Teikyo University School of Medicine, Tokyo, Japan.
Auris Nasus Larynx. 1995;22(3):205-8. doi: 10.1016/s0385-8146(12)80061-7.
A 28-year-old man who manifested subcutaneous emphysema extending from the skull base and face to the chest, mediastinum and spinal epidural space following severe coughing caused by acute bronchitis is reported. Subcutaneous emphysema is a manifestation of non-surgical intrathoracic pathophysiology. In this patient percutaneous diagnostic peritoneal lavage resulted in the release of a large quantity of air and was negative for bleeding or contamination. No treatment other than antibiotics was prescribed. In this report, computer tomography study successfully demonstrated the areas of massive subcutaneous emphysema and the disappearance of the entrapped air, that might be absorbed into the tissues in the occupied sites within 7 days, except the air of epidural space, of a patient who manifested as a consequence of severe coughing caused by acute bronchitis.
据报道，一名28岁男性因急性支气管炎引发剧烈咳嗽后，出现了从颅底、面部延伸至胸部、纵隔和脊髓硬膜外间隙的皮下气肿。皮下气肿是非手术性胸内病理生理学的一种表现。该患者经皮诊断性腹腔灌洗释放出大量气体，且未发现出血或污染迹象。除抗生素外未进行其他治疗。在本报告中，计算机断层扫描研究成功显示了一名因急性支气管炎剧烈咳嗽而出现皮下气肿的患者大量皮下气肿区域以及被困气体的消失情况，除硬膜外间隙的气体外，这些气体可能在7天内被吸收到占据部位的组织中。
