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咽后气肿系指发生于咽后间隙的积气症状(不含因感染或脓肿形成的产气-气液平症状),临床少见。现报告2例。 例1 女,60岁。因风湿性心脏病、二尖瓣狭窄、心房纤颤造成心跳骤停,经复苏气管插管后5天出现皮下气肿,口如含物状,咽后壁充血、隆起,会厌水肿、淤血。X线颈侧位片示咽喉后壁积气,咽、喉、气管向前移位,软组织积气。死于心脏病。 例2 女,30岁。因慢性卡他性中耳炎作咽鼓管导管吹张治疗,于第2次吹张后出现咽下疼痛,胸部憋胀感,并出现右耳下及颈部胸前的皮下气肿。颈部侧位片示咽后壁积气(图略)。经保守治疗痊愈。
Posterior pharyngeal emphysema refers to the vasogenic symptoms that occur in the posterior pharyngeal space (excluding the gas-vapor-liquid symptoms of infection or abscess formation), which are rare in clinical practice. Now report 2 cases. Example 1 Female, 60 years old. Due to rheumatic heart disease, mitral stenosis, atrial fibrillation caused by cardiac arrest, 5 days after the resuscitation endotracheal intubation subcutaneous emphysema, mouth as containing shape, posterior pharyngeal congestion, bulging, epiglottis edema, congestion. X-ray film shows the posterior throat wall throat gas, pharynx, larynx, trachea forward displacement, soft tissue gas. Died of heart disease. Example 2 Female, 30 years old. Due to chronic catarrhal otitis media for Eustachian tube tube blowing treatment, in the second blow after swallowing pain, chest brisk feeling, and the right ear and neck chest subcutaneous emphysema. Lateral film shows the posterior wall of the throat gas (Figure omitted). After conservative treatment healed.