术语“位于纵隔和皮下组织内的自由空气或气体,与任何明显原因无关,比如胸部创伤,“用于表征自发性纵隔气肿(SPM)和皮下气肿(SE)。SPM与各种疾病和原因有关,包括支气管哮喘,糖尿病酮症酸中毒,剧烈运动,剧烈咳嗽,药物摄入量,和其他涉及瓦尔萨尔瓦演习的行动。我们描述了一个自发性宫颈的病例,咽后,一名年轻女性的纵隔气肿,她以前很健康。她被带进病房观察,生命体征监测,镇痛药,和预防性抗生素。她开始服用镇痛药,预防性抗生素,和100%的氧气,以帮助吸收。颈部疼痛逐渐消退,没有氧饱和度下降或生命体征异常。在后来变得更好之后,病人回家了。出院两周后,患者在门诊接受了检查,没有任何疾病迹象。总而言之,皮下气肿和纵隔气肿在急诊室并不常见,但它们通常是自我限制的。
The terms \"free air or gas located within the mediastinum and subcutaneous tissue that are not associated with any obvious causes, such as chest trauma,\" are used to characterise spontaneous pneumomediastinum (SPM) and subcutaneous emphysema (SE). SPM has been linked to a variety of illnesses and causes, including bronchial asthma, diabetic ketoacidosis, strenuous exercise, strenuous coughing, medication intake, and other actions involving the Valsalva maneuver. We describe a case of spontaneous cervical, retropharyngeal, and mediastinal emphysema in a young female who was previously healthy. She was brought into the ward for observation, vital sign monitoring, analgesics, and prophylactic antibiotics. She started taking analgesics, preventative antibiotics, and 100% oxygen throughout that period to help with absorption. The neck pain gradually subsided, and there were no bouts of oxygen desaturation or abnormal vital signs. After subsequently getting better, the patient went home. The patient was examined in an outpatient clinic two weeks after being discharged and shown no signs of illness. To sum up, subcutaneous emphysema and pneumomediastinum are uncommon presentations seen in the emergency room, but they are typically self-limiting.