特発性縦隔気腫症例の臨床的検討

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  • A clinical study on eight cases of spontaneous pneumomediastinum.

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Pneumomediastinum secondary to bronchial asthma is common. However, spontaneous pneumomediastinum in a healthy patient without underlying disease is relatively uncommon. Eight patients were admitted to our hospital with a diagnosis of spontaneous pneumomediastinum. Almost all the patients were slender teenaged males. Predisposing episodes for the development of spontaneous pneumomediastinum could be identified in all 8 patients; sports in 5, loud voice in 2, labor in 1. The most common presenting complaint was neck pain in all 8 patients, chest or back pain in 6, dyspnea in 2. All patients responded well to bed rest and antibiotic therapy. No surgical treatment was necessary. Typically, the patient becomes asymptomatic with complete reabsorption of the mediastinal air within a week. No recurrent pneumomediastinum occurred.

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