高原地区与平原地区自发性纵隔气肿患者对比分析
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1.皖南医学院附属弋矶山医院(附属第一医院);2.山南市人民医院综合外科

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Comparative analysis of patients with spontaneous mediastinal emphysema in plateau and plain areas
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    摘要:

    目的 分析高原地区和平原地区人群的自发性纵隔气肿病例特点、探究发病机制及提供治疗策略。方法 回顾性分析25例西藏自治区山南市和 35例安徽省芜湖市近3年自发性纵隔气肿患者病例特征。对比患者基本信息资料、症状体征、辅助检查、治疗策略流程、病程发展及预后等方面。结果 自发性纵隔气肿高发于青少年,高原地区患病率高,患者不适症状及体征发生率高,症状持续更久,住院周期更长。结论 高原地区,低氧、气候干燥都可能是自发性纵隔气肿的诱发因素,通过对比两地病例特点,更加深刻认识自发性纵隔气肿的发生发展及病程变化,为自发性纵隔气肿提供安全、可靠、流程化治疗策略。

    Abstract:

    Objective To analyze the characteristics of spontaneous mediastinal emphysema in people living in plateau and plain areas, explore the pathogenesis and provide treatment strategies. Method The characteristics of patients with spontaneous mediastinal emphysema in the past 3 years were retrospectively analyzed in 25 cases in Shannan City and 35 cases of Wuhu City. Compare the patient's basic information, symptoms and signs, auxiliary examinations, treatment strategy process, disease course development and prognosis, etc. Result Spontaneous mediastinal emphysema is more common in adolescents. The prevalence in plateau areas is higher than that in plain areas, and the incidence of symptoms and signs such as chest tightness, dyspnea, and subcutaneous emphysema is higher than in plain areas. In addition, the symptoms in the plateau area lasted longer, and the hospitalization period was longer. Conclusion Plateau areas, hypoxic environment, and dry climate may be the predisposing factors of spontaneous mediastinal emphysema. By comparing the characteristics of cases in the two places, we can more deeply understand the occurrence, development and course changes of spontaneous mediastinal emphysema. Finally, a safe, reliable and process-based treatment strategy for spontaneous mediastinal emphysema is provided.

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  • 收稿日期:2022-11-20
  • 最后修改日期:2023-04-21
  • 录用日期:2023-08-29
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