良性皮下肺气肿:罕见病例及文献综述。

Lucia FURIÓ SANCHIS, Alberto ESCRIVÀ LLORET, Esther PASTOR FERNÁNDEZ, D. Mifsut-Miedes
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摘要

一个73岁的妇女谁来到急诊科由她的全科医生转介,由于发现匍匐和局部体温升高,在检查左上肢。她的左肘部有一个伤口,在4天前跌倒后正在愈合。她将感觉不舒服、发冷甚至高烧联系起来。实验室结果显示炎症标志物轻微升高。计算机断层扫描显示皮下肺气肿和肌肉平面之间的一些气泡。考虑到可能出现的紧急情况,医院决定尽快将患者送入手术室,并接受抗生素静脉注射治疗。然而,患者在住院期间病情一直稳定,进展良好,临床改善,分析稳定,决定在3天后出院。
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Enfisema subcutáneo benigno: un caso raro y revisión de la literatura.
A 73-year-old woman who came to the emergency department referred by her gp doctor due a finding of crepitus and local temperature increase, on the examination of the left upper limb. She has a wound on her left elbow, in the process of healing by secondary intention, after a fall 4 days ago. She associates not feeling good at all, chills and even some fever peak. Laboratory findings reveal slightly elevated inflammatory markers. Computed tomography shows subcutaneous emphysema and some bubbles between muscle planes. Given the possible emergency situation, it decided to put the patient nil by mouth to go to theatre as soon as possible and be admitted to the ward with intravenous antibiotic treatment. However, the patient was stable at all times and with the good evolution during the time she was in the ward, presenting clinical improvement and analytical stability, it was decided to discharge her after 3 days.
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