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二例均因肺部感染及喘憋肺炎严重、临床治疗无效,并发了皮下气肿和纵膈气肿。气肿由颈部至胸部、头部甚至腹部的皮下,引起对称与均匀的肿胀,皮肤隆起,以手按摸时有柔软而带气泡的感觉,听诊可闻及捻发音。在 X 线协助下可证实。积气不多,原发病或并发症及时诊疗,空气的来源断绝。多在数日至数周内气体渐被血液吸收。积气甚多时引起呼吸困难,甚至压迫心脏引起心衰和呼衰,则须采用手术治疗。
Two cases were due to pulmonary infection and wheezing pneumonia, clinical treatment ineffective, complicated by subcutaneous emphysema and mediastinal emphysema. Emphysema from the neck to the chest, head and even the abdomen of the abdomen, causing symmetrical and even swelling, skin uplift, hand touch when there is a soft feeling with bubbles, auscultation can smell and twist pronunciation. X-ray assistance can be confirmed. Accumulation of gas, the primary disease or complications of timely diagnosis and treatment, the source of the air severed. More in a few days to several weeks the gas gradually absorbed by the blood. When breathing a lot of gas cause breathing difficulties, and even oppressed the heart cause heart failure and respiratory failure, you must use surgical treatment.