纵隔气肿

CT在颈纵隔气肿病因诊断中的应用（附16例报告）

Application of CT on Diagnosis of the Etiology of Cervical and Mediastinal Emphysema ( A Report of 16 Cases )

故此，对SARS危重患者行机械通气治疗时应该选择最佳的通气压力以避免气胸及纵隔气肿的发生。SARS（高二适用）

So when MV is used in the treatment of serious SARS patients to improve hypoxemia , optimized mechanical ventilative pressure should be obtained in order to avoid pneumothorax and mediastinal emphysema .

新生儿纵隔气肿的X线及CT检测分析

X-ray , CT diagnosis of mediatinal emphysema in the neonate

方法对我院9例纵隔气肿患者作胸部螺旋CT扫描，收集数据进行后处理。

Methods To perform chest spiral CT scan to9 cases with mediastinal emphysema , collect and reprocess the data .

因应用NIPPV治疗而出现的并发症共7例，其中皮下气肿伴纵隔气肿3例，皮下气肿伴气胸4例。

The complications with NIPPV occurred in 7 patients , 3 patients had subcutaneous and mediastinal emphysema , 4 patients had subcutaneous emphysema and pneumothorax .

资料与方法回顾分析182例SARS患者950次X线胸部平片和74次胸部CT检查结果，重点观察肺内空洞性病变、肺间质纤维化、气胸、纵隔气肿、皮下气肿和胸膜病变。

Materials and Methods A total of 950 plain chest radiographs and 74 thoracic CT scans obtained from 182 patients with SARS was retrospectively reviewed . The observation was focused on the pulmonary cavitary lesions , interstitial fibrosis , pneumothorax , pneumomediastinum , subcutaneous emphysema and pleural effusion .

7例患者气胸或纵隔气肿均未进一步发展且逐步好转。

Seven cases of pneumothorax and mediastinal emphysema improved gradually .

多发性肌炎/皮肌炎合并纵隔气肿的临床分析

Clinical analysis of pneumomediastinum complicated in polymyositis and dermatomyositis

外伤性纵隔气肿对犬心肺功能影响

Impact of Traumatic Pneumomediastinum on Cardiopulmonary Function in Dogs

纵隔气肿32例临床分析

Clinical Analysis of 32 Patients with Mediastinal Emphysema

纵隔气肿28例治疗体会

Therapeutic experience of 28 cases of pneumomediastinum

大出血时的血凝块或大量血液填塞气管；手术操作不当引起的出血或皮下、纵隔气肿压迫气管；

Bleeding , subcutaneous and mediastinal emphysema press on the trachea wall due to inappropriate surgical procedures .

结论：肺内压过大、肺泡破裂是纵隔气肿、气胸发生的主要原因。

Conclusion Pneumomediastinum or pneumothorax is mainly caused by the intrapulmonary hyper-pressure and fracture of pulmonary bubbles .

除1例有创机械通气患者行胸腔闭式引流术外，其余8例患者气胸及纵隔气肿均未进一步发展且逐步好转。

Eight cases of pneumothorax and mediastinal emphysema improved gradually , thoracic closed drainage was performed in one case .

另外还发现气胸、液（血）气胸、纵隔气肿、皮下气肿及肋骨骨折等。

We also can find pneumothorax , hydropneumothorax , mediastinal emphysema , subcutaneous emphysema , fracture of costal bone .

目的为了总结非胸外伤性纵隔气肿的外科治疗经验，并探讨其发病机理。

Objective To summarize the experience of surgical treatment of non thoracotraumatic pneumomediastinum and to analyse it 's etiopathology .

方法：对10例支气管异物取出术中发生纵隔气肿、气胸的临床资料进行分析。

Methods We analyzed the clinical data of 10 cases of pneumomediastinum or pneumothorax during the removal of bronchial foreign bodies in children .

目的研究多发性肌炎/皮肌炎（PM/DM）并发纵隔气肿的临床特点，探讨其发病危险因素及致病机制。

Objective To analyze the clinical features of pneumomediastinum complicated in polymyositis and dermatomyositis ( PM / DM ) and to study the pathogenesis thereof .

结果：肺间质气肿8例，气胸8例，纵隔气肿10例，心包积气1例，气腹2例。

Results : Emphysema in interstitium of lung 8 cases , pneumothorax 8 cases , mediastinal emphysema 10 cases , pneumopericardium 1 case , aeroperitoneum 2 case .

6例肺部合并G~-杆菌感染，5例合并纵隔气肿，出现合并症时，肺部阴影延迟吸收。

Complication with G - bacillus infection in 6 cases and pneumomediastinum in 5 cases were found , which was accompanied with delayed resolution of the lung opacity .

结论早期正确的诊断和治疗是成功抢救张力性纵隔气肿的关键，纵隔切开引流术是治疗张力性纵隔气肿的有效方法。

Conclusion It is the key to make correct diagnosis and treatment in the early stage for the rescue of mediastinal tension emphysema . The mediastinotomy and drainage is an effective method to treat mediastinal tension emphysema .

作者结合50例临床实践，浅谈该病急诊处理原则、喉气管前壁的重建、临床易被忽视的纵隔气肿和隐蔽性喉气管断裂伤，以及术后护理应注意的诸多问题。

The principles of dealing with emergent laryngotracheal trauma , reconstruction of anterior wall of tra - chea and larynx , management of mediastinal emphysema , and insidious laryngeal or tra - cheal laceration , as well as postoperative nursing , were discussed .

结果X线平片见肺容积增加和肺透亮度增加4例（143%），肺纹理增粗5例（179%），纵隔气肿1例，总阳性率25%（7/28）。

Results On chest plain films , 4 cases showed lung volume increasing and pulmonary parenchymal transparency increasing ( 14.3 % ), predominant lung marking in 5 cases , mediastinal emphysema in one case . The positivity of chest plain films was 25 % .

胸壁血肿、纵隔及皮下气肿、气胸、血气胸、肺实质损伤、创伤性肺不张等均以CT阳性检出率高。

But the positive rate of chest wall hematoma , mediastinum and subcutaneous emphysema , pneumothorax , hydropneumothorax , damage of lung parenchyma and traumatic pulmonary atelectasis was higher in CT scan than those in chest radiograph .

麻疹并气胸或纵隔/皮下气肿12例诊治分析

Analysis of measles complicated with pneumothorax or mediastinal / subcutaneous emphysema in 12 cases

胸膜异常表现为胸膜肥厚或胸膜腔积液22例，纵隔及皮下气肿1例；

Pleural thickening or hydrothorax were 22 cases , subcutaneous emphysema with pneumomediastinum 1case ;