Severe Spontaneous Pneumomediastinum in a Girl with Cystic Fibrosis.

Pub Date : 2021-10-01 eCollection Date: 2021-01-01 DOI:10.1055/s-0041-1731274
Csaba Zsiborás, Mária Adonyi, József Stankovics, András Farkas, Peter Vajda, Barnabás Rózsai
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Abstract

We report on an 11-year-old girl with cystic fibrosis who presented with thoracic pain and an extensive subcutaneous emphysema and subsequently developed progressive respiratory distress. The chest computed tomography revealed a huge pneumomediastinum. Due to the development of severe respiratory failure, urgent needle thoracocentesis was necessary that resulted in only temporary improvement. Therefore, under general anesthesia two mediastinal drains were introduced. Using active suction, the size of the pneumomediastinum decreased gradually and the drains were removed after 3 weeks. Here, we describe an extremely rare situation, when acute surgical intervention was necessary in a child with spontaneous pneumomediastinum.

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女童囊性纤维化伴严重自发性纵隔气肿1例。
我们报告了一位11岁的囊性纤维化女孩,她表现为胸部疼痛和广泛的皮下肺气肿,随后发展为进行性呼吸窘迫。胸部电脑断层显示巨大的纵隔气肿。由于严重呼吸衰竭的发展,需要紧急进行胸刺针穿刺,结果只是暂时的改善。因此,在全身麻醉下,引入了两条纵隔引流管。主动吸痰后,纵膈气体积逐渐减小,3周后拔除引流管。在这里,我们描述了一个极其罕见的情况,当急性手术干预是必要的儿童自发性纵隔气。
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