PDF(Pubmed)
Abstract：
Hamman\'s syndrome or Macklin phenomenon - spontaneous pneumomediastinum - is an uncommon condition that often gets missed due to the lack of awareness. It may rarely be associated with diabetic ketoacidosis (DKA) due to repeated vomiting or Kussmaul breathing associated with it. This condition is self-resolving, and improvement in symptoms is usually observed with appropriate management of DKA. Secondary pneumomediastinum is relatively more common, but spontaneous pneumomediastinum, which is rare, is often diagnosed incidentally. Here, we describe a case of a 24-year-old gentleman where this condition was found incidentally during the examination and was confirmed through imaging (X-ray and CT scans) and resolved with successful management of DKA.
摘要：
Hamman综合征或Macklin现象-自发性纵隔气是一种罕见的疾病，由于缺乏意识而经常被错过。由于反复呕吐或与之相关的Kussmaul呼吸，它很少与糖尿病酮症酸中毒（DKA）相关。这种情况是自我解决的，通过适当的DKA管理通常观察到症状的改善。继发性纵隔气肿相对更常见，但自发性纵隔肺炎,这是罕见的，经常被诊断为偶然。这里,我们描述了一例24岁的先生,在检查过程中偶然发现了这种情况,并通过影像学检查(X线和CT扫描)得到证实,并通过DKA的成功治疗得到解决.
