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題 名 | Spontaneous Pneumomediastinum:Two Case Reports=自發性縱膈腔氣腫:兩病例報告 |
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作 者 | 張嘉哲; 張啟宏; 林烈漢; | 書刊名 | 臺灣急診醫學會醫誌 |
卷 期 | 8:2 民95.06 |
頁 次 | 頁70-75 |
分類號 | 415.45 |
關鍵詞 | 縱膈腔氣腫; 運動; 氣喘; Pneumomediastinum; Exercise; Asthma; |
語 文 | 英文(English) |
中文摘要 | 自發性縱膈腔氣腫是一不常見且易誤診的疾病。定義為縱膈腔內出現非外傷性游離的氣體。通常次發於周邊肺部的肺泡破裂,接著游離的氣體沿著肺部間質移動至肺門及縱膈腔。它通常發生在年輕且健康的男性。臨床病程通常是良性且可自癒。在此我們報告兩個病例,自發性縱膈腔氣腫分別發生在運動後及氣喘發作時。最後討論此一疾病的致病機制、症狀、影像學表現、診斷及處置。 |
英文摘要 | Spontaneous pneumomediastinum is an uncommon and underdiagnosed disease defined as a nontraumatic presence of free air in the mediastinum. It is usually secondary to alveolar rupture in the peripheral pulmonary interstitium, followed by dissection of air towards the hilum and mediastinum. It usually occurs in young, healthy, adult males. The clinical course is usually benign and selflimited. We here present two cases associated with exercise and asthma attack. The discussion includes the mechanisms, symptoms, radiographic findings, diagnosis and appropriate management of this condition. |
本系統中英文摘要資訊取自各篇刊載內容。