背景：自发性纵隔肺出血，阴囊肺气肿,在临床实践中很少观察到由急性肺炎引起的广泛皮下气肿。
方法：这里，我们报告一例12岁男孩自发性纵隔肺出血，阴囊肺气肿,以及由支原体肺炎引起的严重咳嗽引起的广泛皮下气肿。该患者在发病前既未接受侵入性或非侵入性呼吸机治疗，也未接受手术治疗。治疗后,病人康复顺利，出院。
方法：我们回顾了PubMed数据库中1988年至2022年期间儿童和青少年自发性肺出血的所有病例。27例符合我们的纳入标准,以及人口统计信息的数据，触发器,合并症,症状,影像学发现，治疗,提取并分析预后。
结论：尽管自发性肺出血是一种罕见的疾病，据报道，它发生在儿童身上。计算机断层扫描是其检测的黄金标准。自发性肺出血通常是良性疾病。这种情况通常不需要任何特殊处理，应作为常见的漏气类型进行监测。如气胸和纵隔气肿。本文受版权保护。保留所有权利。
Spontaneous
pneumorrhachis with pneumomediastinum, scrotal emphysema, and extensive subcutaneous emphysema caused by acute pneumonia are rarely observed in clinical practice.
Herein, we report a case of a 12-year-old boy with spontaneous
pneumorrhachis with pneumomediastinum, scrotal emphysema, and extensive subcutaneous emphysema caused by a severe cough due to mycoplasma pneumonia. This patient neither received invasive or noninvasive ventilator treatment nor surgical treatment before the onset of the disease. After treatment, the patient recovered smoothly and was discharged from the hospital.
We reviewed all cases of spontaneous
pneumorrhachis in children and adolescents between 1988 and 2022 in the PubMed database. Twenty-seven cases met our inclusion criteria, and the data on demographic information, triggers, comorbidities, symptoms, imaging findings, treatment, and prognosis were extracted and analyzed.
Although spontaneous
pneumorrhachis is a rare condition, it has been reported in children. Computed tomography scanning is the gold standard for its detection. Spontaneous
pneumorrhachis is typically a benign disease. This condition usually does not require any special treatment and should be monitored as common types of air leaks, such as pneumothorax and pneumomediastinum.
PDF(Pubmed)