ARTICLE

Volume 2,Issue 9

Fall 2024

Cite this article
1
Download
8
Citations
50
Views
20 October 2024

全麻下扁桃体切除术后并发皮下气肿1例及文献回顾

晨阳 李 鹏 陈 小洁 韦
Show Less
1 西安市人民医院(西安市第四医院)耳鼻咽喉头颈外科中心, 西安市人民医院(西安市第四医院)耳鼻咽喉头颈外科中心
MRP 2024 , 2(10), 38–40; https://doi.org/10.61369/MRP.10012
© 2024 by the Author. Licensee Art and Design, USA. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution -Noncommercial 4.0 International License (CC BY-NC 4.0) ( https://creativecommons.org/licenses/by-nc/4.0/ )
Abstract

皮下气肿是扁桃体切除术后少见并发症,是由于气体通过破损部位进入颈部、胸部、纵隔等组织间隙引起皮下积气。气体可通过面、颈部伤口进入咽旁间隙、面颊部间隙、危险间隙等组织间隙,甚至可以扩散至胸部、纵隔而危及生命。本文报道1例双侧扁桃体切除术后发生的颈、胸部及纵隔皮下气肿,分析其产生的原因,并回顾相关文献,探讨其发病机制及预防及治疗措施,为临床提供参考。

Keywords
皮下气肿
扁桃体切除
并发症
组织间隙
References

[1] 边艳芬,朱跃国.扁桃体切除术后并发颈部皮下气肿一例[J].大同医专学报,1994, (1):70. [2] Tay YBE, Loh WS. Extensive subcutaneous emphysema, pneumomediastinum,and pneumorrhachis following third molar surgery[J].Int J Oral Maxillofac Surg, 2018, 47(12): 1609-1612.
[3] 董保成,路承,贾新奇,等.支撑喉镜手术并发颈部皮下气肿原因及预防[J].临床耳鼻咽喉科杂志,2006(09):418-419.
[4] 曲玲,张丽君,于华鹏.扁桃体切除术后并发颈部皮下气肿1 例[J].耳鼻咽喉头颈外科,2002,9(5):312.
[5] Tenore G, Palaia G, Ciolfi C, et al. Subcutaneous emphysema during root canal therapy: endodontic accident by sodium hypoclorite[J].Ann Stomatol, 2017, 8(3): 117-122.
[6] Chang CH, Lien WC. Palpebral emphysema following a dental procedure[J].Am J Emerg Med, 2018, 36 (5): 908.e1-908.e2.
[7] Yang SC, Chiu TH, Lin TJ, et al. Subcutaneous emphysema and pneumomediastinum secondary to dental extraction: a case report and literature review[J].Kaohsiung J Med Sci, 2006, 22(12): 641-645.
[8] Romeo U, Galanakis A, Lerario F, et al. Subcutaneous emphysema during third molar surgery: a case report[J].Braz Dent J, 2011, 22(1): 83-86.
[9] 马洋,吴迪,胡开进,等.拔牙术后感染和皮下气肿的原因与防治[J].中国实用口腔科杂志,2014,7(12):711-714.
[10] Mc Kenzie WS, Rosenberg M. Latrogenic subcutaneous emphysema of dental and surgical origin: a literature review[J].J Oral Maxillofac Surg, 2009, 67(6): 1265-1268.
[11] Rad MV, Chan EKY, Ahmed IH. Cervicofacial sub-cutaneous emphysema and pneumomediastinum secondary to dental treatment in a young man[J].Respir Med Case Rep, 2019, 28: 100918.
[12] Kim JS, Kwon SH, Lee EJ, et al. Can Intracapsular Tonsillectomy Be an Alternative to Classical Tonsillectomy? A Meta-analysis[J].Otolaryngol Head Neck Surg. 2017Aug;157(2):178-189.
[13] Sainsbury D, Jaiganesh T. Dentist’s drill allergy[J].Int J Emerg Med, 2010, 3(4): 427-429.

Share
Back to top