López González M A, Cordero Fraile T, Delgado Moreno F
Servicio de ORL, Hospital Universitario Virgen del Rocío, Sevilla.
Acta Otorrinolaringol Esp. 1997 Nov-Dec;48(8):677-81.
Subcutaneous emphysema and pneumomediastinum have many causes. Generally they course without severe pathophysiological complications and severe respiratory complications are rare. However, cases with progressive dyspnea should be treated with tracheostomy or superficial incisions. A case is reported of a patient who underwent hip surgery under general anesthesia with tracheal intubation and later presented progressive dyspnea with subcutaneous emphysema and neuromediastinum. Tracheostomy yielded satisfactory results.
皮下气肿和纵隔气肿有多种病因。一般来说，它们的病程中不会出现严重的病理生理并发症，严重的呼吸并发症也很少见。然而，对于进行性呼吸困难的病例，应行气管切开术或浅表切开术治疗。本文报道一例患者，在全身麻醉气管插管下行髋关节手术后，出现进行性呼吸困难，并伴有皮下气肿和纵隔气肿。气管切开术取得了满意的效果。
