PDF(Pubmed)
Abstract：
A man in his 30s presented to the emergency department with a history of injury to the face with a crowbar. He was discharged from the department, in the absence of any facial bone fractures and given normal examination findings, except for a puncture wound on the mentum. The patient then re-presented within 24 hours with extensive cervical emphysema extending into the mediastinal cavity.He was referred to ear, nose and throat team for further management. CT scan of the chest and neck showed extensive surgical emphysema and a pneumomediastinum. The patient was managed conservatively and recovered well with no significant sequelae.Even in the absence of facial bone fractures, it is imperative to understand the force of impact which should prompt a consideration of imaging of the chest. Appropriate advice regarding avoidance of Valsalva manoeuvres will help prevent extensive propagation of air through the fascial planes that can result in a pneumomediastinum.
摘要：
一名30多岁的男子带着撬棍面部受伤的病史来到急诊室。他从部门出院了，在没有任何面部骨折和正常检查结果的情况下，除了脑膜上的刺伤.然后，患者在24小时内再次出现广泛的宫颈气肿，并延伸到纵隔腔。他被称为耳朵，鼻子和喉咙团队进一步管理。胸部和颈部的CT扫描显示广泛的外科肺气肿和纵隔肺气肿。患者经过保守治疗，恢复良好，无明显后遗症。即使没有面部骨折，必须了解撞击力，这应该促使人们考虑胸部的成像。关于避免Valsalva动作的适当建议将有助于防止空气通过筋膜平面广泛传播，从而导致纵隔气肿。
