Spontaneous pneumomediastinum: an algorithm for diagnosis and management
Autor: | Shuuichi Matsumoto, Tetsuo Hiramatsu, Masato Shizu, Eiji Kojima, Hiroshi Morioka, Shoutarou Okachi, Kiyoko Ninomiya, Kazuto Takada |
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Rok vydání: | 2009 |
Předmět: |
Pulmonary and Respiratory Medicine
Adult Male Pediatrics medicine.medical_specialty Boerhaave syndrome Adolescent Diagnosis Differential Young Adult Oesophageal rupture medicine Humans Pharmacology (medical) Pneumomediastinum Young adult Child Young male Mediastinal Emphysema Aged lcsh:RC705-779 Aged 80 and over business.industry fungi lcsh:Diseases of the respiratory system Middle Aged medicine.disease Prognosis Mediastinitis Spontaneous pneumomediastinum Female business Algorithm Algorithms |
Zdroj: | Therapeutic Advances in Respiratory Disease, Vol 3 (2009) |
ISSN: | 1753-4666 |
Popis: | Spontaneous pneumomediastinum (SPM) is a rare disorder most often affecting young males which is generally self-limiting. Despite the benign prognosis with few complications and little morbidity, it frequently confuses clinicians in primary settings, who may have difficulty differentiating SPM from other serious organ ruptures, especially oesophageal rupture (the so-called Boerhaave syndrome), which may lead to mediastinitis and may be fatal, even with appropriate interventions. An overview of adult SPM is provided, reviewing 17 studies (414 patients), including our clinical experience, and finally an algorithm for diagnosis and management of SPM is proposed, based on the characteristics of SPM. |
Databáze: | OpenAIRE |
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