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目的:探讨自发性纵隔气肿的发病机制、诊断和治疗方法,减少误诊或漏诊。方法:回顾性分析9例自发性纵隔气肿患者的诊断与治疗方法。结果:全组患者3~10 d气肿消失,无并发症发生,均痊愈。结论:通过对自发性纵隔气肿的认识、严密观察、CT检查及食管造影检查大部分能明确诊断,亦能排除食管或气管破裂的可能。大多数患者通过保守治疗可以痊愈,预后良好。
Objective: To explore the pathogenesis, diagnosis and treatment of spontaneous mediastinal emphysema and to reduce misdiagnosis or missed diagnosis. Methods: The diagnosis and treatment of 9 patients with spontaneous mediastinal emphysema were retrospectively analyzed. Results: All patients in 3 ~ 10 days disappeared emphysema, no complications, were cured. Conclusion: Through the understanding of spontaneous mediastinal emphysema, close observation, CT examination and esophageal angiography most of the diagnosis can be clear, but also ruled out the possibility of esophageal or tracheal rupture. Most patients can be cured by conservative treatment, the prognosis is good.