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海曼氏综合征很少发生于产程和分娩中,所见病例绝大多数是初产妇,其产程和胎儿体重均属正常范围。本文就文献报告的187例的体征、症状和病理生理学等加以复习和讨论。伴随皮下气肿和纵隔积气的海曼氏综合征是产程和分娩中的一种罕见并发症。其发病率约是1∶2,000～100,000。1945年海曼首次描述该综合征的临床症状有:疼痛,皮下和后腹膜气肿,心音消失(因为磨擦音响超过心音,称为海曼氏征)。并有纵隔压力增加的表现。且X线胸片显示纵隔积气和气胸。尽管许多作者认为,发生于产程和分娩中该综合征并伴发气胸,但其中有5例伴气胸,作者近又新增一例。历史及病历复习:至今为止共187例文献记录。其中161例是初产妇(95%),8例是经产妇(5%)。
Hayman’s syndrome rarely occurs in labor and childbirth, the vast majority of cases seen are primiparous, the labor process and fetal weight are within the normal range. In this paper, the literature reported 187 cases of signs, symptoms and pathophysiology, etc. to review and discuss. Heinz’s syndrome with subcutaneous emphysema and mediastinal gas accumulation is a rare complication of labor and delivery. Its incidence is about 1: 2 000 ~ 100 000. 1945 Hyman first described the clinical symptoms of the syndrome are: pain, subcutaneous and retroperitoneal emphysema, heart sound disappeared (because the friction sound more than the heart sound, known as Hymen’s sign) . And mediastinal pressure increased performance. And X-ray showed mediastinal pneumothorax and pneumothorax. Although many authors believe that the syndrome occurred in labor and delivery with pneumothorax, five of them had pneumothorax and the authors added another. History and medical records review: a total of 187 records so far. Of these, 161 were primipara (95%) and 8 were maternal (5%).