哮喘联盟

   摘要
   空气潴留于椎管内被称为椎管积气。在椎管积气的病患中，空气可以存在于硬膜内外或椎管蛛网膜下腔。后纵隔软组织内的空气可沿筋膜平面通过椎间神经孔，并进入硬膜外或蛛网膜下腔。非创伤性椎管积气的病例极其罕见。大多数时候，椎管积气并无症状表现，保持在局部并会自行消退。纵隔气肿合并非胸部创伤硬膜外椎管积气的报道在已发表文献中较少。本文报告了一例罕见的由支气管哮喘的剧烈咳嗽而引发的椎管积气、纵隔气肿、气胸和手术性肺气肿的成年女性患者病例。
 

（苏楠 审校）
Int Med Case Rep J. 2014 Mar 6;7:35-9. doi: 10.2147/IMCRJ.S60050. eCollection 2014.

 

Rare case of pneumorrhachis, pneumomediastinum, pneumothorax, and surgical emphysema secondary to bronchial asthma.
 

Mahajan PS1, Al Maslamani NJ1, Purayil NK2.
 

ABSTRACT
Air localized within the spinal canal is called pneumorrhachis. In the case of pneumorrhachis, air can be present in the extradural, the intradural, or the subarachnoid space of the spinal canal. The air within the soft tissue of the posterior mediastinum may dissect along fascial planes, through the intervertebral neural foramina, and into the extradural or the subarachnoid space. Nontraumatic pneumorrhachis is a rare presentation. Most of the time, pneumorrhachis is asymptomatic, remains localized, and resolves spontaneously. There are very few reports of combined presence of pneumomediastinum and extradural pneumorrhachis not associated with thoracic injury in the published literature. We report a rare case of pneumorrhachis, pneumomediastinum, pneumothorax, and surgical emphysema in an adult female patient developed after a bout of violent cough related to bronchial asthma.
 

Int Med Case Rep J. 2014 Mar 6;7:35-9. doi: 10.2147/IMCRJ.S60050. eCollection 2014.