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1
題名:Spontaneous Pneumomediastinum and Subcutaneous Emphysema after Jogging: Successful Resolution with Conservative Treatment     (10點)
晨跑之後導致自發性縱膈腔氣胸與皮下氣腫:經保守療法成功緩解一個個案報告
著者:Fu-Yuan Siao(蕭富源) ;Woei-Horng Chai(蔡偉宏) ;Chun-Wen Chiu(邱俊文) ;Chin-Fu Chang(張進富) ;Chu-Chung Chou(周志中) ;Chun-Chieh Chiu(邱俊杰)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:自發性縱膈腔氣胸 ; 皮下氣腫 ; 晨跑 ; spontaneous pneumomediastinum ; subcutaneous emphysema ; jogging
刊名:Journal of Emergency and Critical Care Medicine
卷期:23卷1期(2012.3)
頁碼:19-23
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

自發性縱膈腔氣胸與皮下氣腫是少見的。診斷上是靠理學檢查及影像學檢查。除非臨床症狀持續惡化例如:吞嚥困難、聲音沙啞、和氣胸才考慮作侵襲性的檢查及治療。一般而言,保守療法即可復原。我們報告一個22歲男性經40分鐘晨跑後導致自發性縱膈腔氣胸與皮下氣腫經由保守療法並避免不需要的侵襲性檢查或手術,而達到成功的復原。
Spontaneous pneumomediastinum (SPM) with subcutaneous emphysema is rare. The diagnosis is made by physical examination and radiography. We present a 22-year-old man who experienced chest tightness and crepitus over his neck and anterior upper chest after jogging for 40 minutes. Pneumomediastinum and subcutaneous emphysema were diagnosed on radiography and computed tomography. He was treated conservatively with intravenous hydration, oxygen, and bronchodilators, and his symptoms/signs improved 3 days after admission. Invasive procedures are usually not necessary in these patients, unless ominous symptoms/signs such as dysphagia, hoarseness and pneumothorax persist. Generally, conservative therapy leads to spontaneous recovery without the need for invasive diagnostic tests or surgical treatment.


    

本卷期目次
Journal of Emergency and Critical Care Medicine 23卷1期 (2012.3)
Adjuvant Treatment with Fish Oil-based Lipid Emulsion for Patients with Septic Shock in Intensive Care Unit: A Clinical Safety Evaluation/ Boon-Siang KhorSing-Yi LinHuang-Sheng ChenKou-Chou HsiehMei-Chih YehMing-Pin WuYih TingHow-Chin LiaoShiumn-Jen Liaw
Pneumoperitoneum Caused by Ruptured Gas-Containing Pyogenic Liver Abscess: A Case Report and Literature Review/ Chih-Chung ChaoSung-Yuan HuYing-Hock Teng
Spontaneous Pneumomediastinum and Subcutaneous Emphysema after Jogging: Successful Resolution with Conservative Treatment/ Fu-Yuan SiaoWoei-Horng ChaiChun-Wen ChiuChin-Fu ChangChu-Chung ChouChun-Chieh Chiu
Superior Mesenteric Artery Syndrome: A Case Report/ Min-Po HoChang-Ming LiuKaung-Chau TsaiYuan-Hui Wu
Acromegaly with Pituitary Tumor Apoplexy: A Case Report/ Yu-Hsin ChengYi LiuAnn-Shung Lieu
Pneumonia and Acute Respiratory Distress Syndrome in a Patient with Influenza A (H1N1)/ Deng-Wei ChouKuo-Mou Chung
Obturator Hernia with Small Bowel Incarceration/ Min-Chieh ShiehChi-Wen TuChing-Chung ChiangChi-Szu Liao
Ovarian Torsion: An Interesting Plain Abdominal Radiograph of an Ovarian Teratoma/ Jian-Lin OuFang-Shun LinChung-Cheng LeeChiing-Hsiang SuChung-Jen Weng
 
   
 
   

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