关键词: Otolaryngology laryngotracheal trauma pneumomediastinum radiology respiratory medicine

来  源:   DOI:10.1177/2050313X241263711   PDF(Pubmed)

Abstract:
Laryngotracheal trauma is a relatively rare traumatic injury seen particularly in young male adults. Trauma due to strangulation is one of its most frequent circumstances. However rare, pneumomediastinum is a particular complication of severe blunt neck injuries leading to alveolar ruptures. This phenomenon, described as the Macklin effect, requires early diagnosis, and its management varies from conservative to surgical treatment depending on the severity of symptoms. Our aim is to describe the case of a 21-year-old male who presented with blunt neck trauma. Clinical and imaging findings revealed subcutaneous neck emphysema and pneumomediastinum. Treatment was conservative leading to complete resolution of the injuries and the patient was discharged after 2 weeks.
摘要:
喉气管外伤是一种相对罕见的外伤,尤其是在年轻的男性成年人中。由于勒死造成的创伤是其最常见的情况之一。然而罕见,纵隔气肿是导致肺泡破裂的严重钝性颈部损伤的特殊并发症。这种现象,被描述为Macklin效应,需要早期诊断,根据症状的严重程度,其管理从保守治疗到手术治疗有所不同。我们的目的是描述一名21岁男性颈部钝性外伤的病例。临床和影像学检查显示皮下颈部气肿和纵隔气肿。治疗是保守的,导致损伤完全解决,患者在2周后出院。
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