PDF(Pubmed)
Abstract：
Subcutaneous emphysema is a type of air leak in which air accumulates within the subcutaneous layer of the skin underneath the dermal layers. The accumulation of air can be seen on imaging in relevant body areas such as the abdomen, chest, face, or neck. During physical examination, crepitus, the sensation or sound of crackling upon palpation, is the most common associated finding. Various causes for subcutaneous emphysema exist, with one such cause being thoracostomy or chest tube placement. The trocar technique, in particular, has been associated with greater complications when compared to other techniques. Here, we present a case of subcutaneous emphysema in a neonate occurring after placement of a chest tube using the trocar technique. At this time, much of the knowledge regarding subcutaneous emphysema related to chest tube placement is in the adult population. Clinicians should be aware of this complication in neonates as the body of knowledge regarding this topic continues to grow.
摘要：
皮下气肿是一种漏气，其中空气积聚在真皮层下方皮肤的皮下层内。在腹部等相关身体区域的成像中可以看到空气的积聚，胸部，脸,或脖子。体检时,Crepitus,触诊时发出crack啪声的感觉或声音，是最常见的相关发现。皮下气肿的各种原因存在，其中一个原因是胸腔造口术或胸管放置。套管针技术,特别是,与其他技术相比，具有更大的并发症。这里,我们介绍了一例使用套管针技术放置胸管后发生的新生儿皮下气肿。此时,关于皮下肺气肿与胸管放置有关的大部分知识是在成人人群中。随着有关此主题的知识不断增长，临床医生应该意识到新生儿的这种并发症。
