급성 천식 발작의 합병증으로 발생한 자발성 종격동기종과 피하기종 1예
Spontaneous Pneumomediastinum and Subcutaneous Emphysema Complicated by Acute Exacerbation of Asthma
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Background: Spontanous pneumomediastinum is an uncommon disease that is defined as the nontraumatic presence of free air in the mediastinum without any apparent underlying disease. Asthma is one of the most common health problems, and spontanous pneumomediastinum occurs as a rare complication of acute exacerbation of asthma. Case History: A 29-year-old man with asthma was admitted to the hospital with acute exacerbation of asthma. His respiratory rate was 14 min, and arterial oxgen saturation was 90% at room air. Chest X-ray shows pneumomediastinum and subcutaneous emphysema. Results: He was treated conservatively with oxygen and intravenous steroid therapy, and his clinical conditions improved. Subcutaneous emphysema and pneumomediastinum disappeared during the follow-up period. Conclusion: Spontaneous pneumomediastinum complicated by asthma exacerbation is usually self-limiting and well controlled with conservative management, but this condition can be potentially life threatening.
Abstract
Background: Spontanous pneumomediastinum is an uncommon disease that is defined as the nontraumatic presence of free air in the mediastinum without any apparent underlying disease. Asthma is one of the most common health problems, and spontanous pneumomediastinum occurs as a rare complication of acute exacerbation of asthma. Case History: A 29-year-old man with asthma was admitted to the hospital with acute exacerbation of asthma. His respiratory rate was 14 min, and arterial oxgen saturation was 90% at room air. Chest X-ray shows pneumomediastinum and subcutaneous emphysema. Results: He was treated conservatively with oxygen and intravenous steroid therapy, and his clinical conditions improved. Subcutaneous emphysema and pneumomediastinum disappeared during the follow-up period. Conclusion: Spontaneous pneumomediastinum complicated by asthma exacerbation is usually self-limiting and well controlled with conservative management, but this condition can be potentially life threatening.
참고문헌 (14)
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