产后早期自发性纵隔气肿(临床观察)

Kukharchyk Yv, Dovnar Ri, Kukharchyk, H. Abdullahi
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摘要

在格罗德诺市产前诊所工作10-11周。根据白俄罗斯共和国卫生部2018年2月19日颁布的《妇产科妇女医学观察和医疗护理》第17号临床协议,在专家的咨询下进行了全面的临床和实验室检查。在进行超声筛查研究时,未发现与标准的偏差。妊娠过程因终止妊娠的威胁而复杂化:在28-30周时,在医院进行了溶胎治疗。39-40周时,患者被送往公共卫生机构“格罗德诺市临床急救医院”,诊断为第一次急诊分娩,胎龄278天;本文报道一例20岁的自发性纵隔气肿患者发生在产后早期。根据患者的主诉,在产后1小时内做出诊断,并通过仪器研究方法证实。对所呈现的临床情况进行分析,提出了导致病理的可能原因,即由于严重肺炎导致的肺组织劣等以及存在结缔组织发育不良的间接迹象。
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Spontaneous pneumomediastinum in early postbirth period (clinical observation)
the antenatal clinic in the city of Grodno in the period of 10–11 weeks. A full clinical and laboratory examination was carried out, consulted by specialists in accordance with the clinical protocols of the Ministry of Health of the Republic of Belarus “Medical observation and medical care for women in obstetrics and gynecology” № 17 dated 02/19/2018. When performing ultrasound screening studies, deviations from the norm were not detected. The course of this pregnancy was complicated by the threat of termination: at 28-30 weeks, tocolytic therapy was carried out in a hospital. At 39-40 weeks, the patient was admitted to the public health institution “City Clinical Emergency Hospital of Grodno” with a diagnosis of I period of the first emergency birth in the head presentation in the gestational age of 278 days; premature Summary The article describes a clinical case of spontaneous pneumomediastinum in a 20-year-old patient in the early postpartum period. The diagnosis was made during the first hour of the postpartum period based on the patient’s complaints and confirmed by instrumental research methods. Analysis of the presented clinical situation suggested a possible cause of the resulting pathology, which are the inferiority of the lung tissue due to severe pneumonia and the presence of indirect signs of connective tissue dysplasia.
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