{"title":"创伤性空气骨髓造影","authors":"M. Krishna, KS Phaneendra, V. Kola","doi":"10.53097/jmv.10091","DOIUrl":null,"url":null,"abstract":"We present the case of a 60-year-old male patient admitted to our intensive care unit after a high-velocity car accident. On-site clinical examination revealed normal consciousness with no focal deficits. Chest X–Ray was suggestive of right pneumothorax with pneumomediastinum and extensive subcutaneous emphysema. CT scan revealed right pneumothorax, pneumomediastinum, extensive subcutaneous emphysema and extradural pneumorachis. A right tube thoracostomy was done and the patient was placed on High flow nasal cannula at 40 lpm and 100% FiO2. There was a gradual resolution of pneumothorax and all the extra-alveolar air including pneumorachis by the 7th day. The patient was discharged in a clinically stable condition. Keywords: Pneumothorax, Pneumomediastinum, Pneumorachis","PeriodicalId":73813,"journal":{"name":"Journal of mechanical ventilation","volume":"50 7","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Traumatic air myelogram\",\"authors\":\"M. Krishna, KS Phaneendra, V. Kola\",\"doi\":\"10.53097/jmv.10091\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"We present the case of a 60-year-old male patient admitted to our intensive care unit after a high-velocity car accident. On-site clinical examination revealed normal consciousness with no focal deficits. Chest X–Ray was suggestive of right pneumothorax with pneumomediastinum and extensive subcutaneous emphysema. CT scan revealed right pneumothorax, pneumomediastinum, extensive subcutaneous emphysema and extradural pneumorachis. A right tube thoracostomy was done and the patient was placed on High flow nasal cannula at 40 lpm and 100% FiO2. There was a gradual resolution of pneumothorax and all the extra-alveolar air including pneumorachis by the 7th day. The patient was discharged in a clinically stable condition. Keywords: Pneumothorax, Pneumomediastinum, Pneumorachis\",\"PeriodicalId\":73813,\"journal\":{\"name\":\"Journal of mechanical ventilation\",\"volume\":\"50 7\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-12-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of mechanical ventilation\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.53097/jmv.10091\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of mechanical ventilation","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.53097/jmv.10091","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
我们介绍了一例因高速车祸而被送入重症监护室的 60 岁男性患者的病例。现场临床检查显示患者意识正常，无局灶性障碍。胸部 X 光检查提示右侧气胸，伴有气胸和广泛的皮下气肿。CT 扫描显示右侧气胸、气胸、广泛的皮下气肿和硬膜外气胸。医生为患者做了右侧管状胸腔造口术，并使用高流量鼻插管，流量为 40 升/分钟，FiO2 为 100%。到第七天，气胸和所有肺泡外空气（包括气噎膈）逐渐消退。患者出院时临床情况稳定。关键词气胸、气腹、气噎
We present the case of a 60-year-old male patient admitted to our intensive care unit after a high-velocity car accident. On-site clinical examination revealed normal consciousness with no focal deficits. Chest X–Ray was suggestive of right pneumothorax with pneumomediastinum and extensive subcutaneous emphysema. CT scan revealed right pneumothorax, pneumomediastinum, extensive subcutaneous emphysema and extradural pneumorachis. A right tube thoracostomy was done and the patient was placed on High flow nasal cannula at 40 lpm and 100% FiO2. There was a gradual resolution of pneumothorax and all the extra-alveolar air including pneumorachis by the 7th day. The patient was discharged in a clinically stable condition. Keywords: Pneumothorax, Pneumomediastinum, Pneumorachis
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