Hamman Sendromu (Spontan Pnömomediastinum)

Year 2019, Volume: 16 Issue: 3, 443 - 447, 25.12.2019

Mehmet Akif Tezcan İbrahim Ethem Özsoy

https://doi.org/10.35440/hutfd.631339

Abstract

Amaç: Bu çalışmada nadir görülen spontan pnömomediastinuma dikkat çekmek ve
klinik tecrübelerimizi aktarmak istedik.

Materyal ve Metod: Nisan 2016- Nisan 2018 tarihleri arasında Sağlık Uygulama ve Araştırma
Merkezinde yatırılıp tedavi edilen spontan pnömomediastinum’lu 12 hastayı
retrospektif olarak değerlendirdik.

Bulgular: Spontan pnömomediastinumlu 12 hastanın 9’u erkek (%75) ve 3’ü (%25)
kadındı. Hastaların yaş ortalaması 30,5 (15-42 yaş) idi. İki hasta şişme ve
dispne, 1 hasta öksürük ve kusma, 1 hasta öksürük ve göğüs ağrısı, 3 hasta
dispne ve göğüs ağrısı, 3 hasta boğaz ve göğüs ağrısı ve 2 hasta diş çekimi
sonrası boyunda şişme şikâyeti ile acil servise kabul edildi. Hastaların
6’sında (%50) sigara hikayesi mevcuttu.

Sonuç: Spontan pnömomediastinum, acilde nadir görülen, hayatı tehdit eden
komplikasyonlar gelişebilecek tedavi edilmesi gerekli bir hastalıktır. Spontan pnömomediastinum’lu
hastalarda diğer hastalıklar elimine edilmelidir.

Anahtar kelimeler: Spontan pnömomediastinum, Dispne, Göğüs ağrısı, Cilt altı amfizem

Keywords

Spontan pnömomediastinum, dispne, göğüs ağrısı, subkutan amfizem

Hamman's Syndrome (Spontaneous Pneumomediastinum)

Abstract

Background: In this study, we wanted to draw
attention to the spontaneous pneumomediastinum which rarely seen and to share
our experiences.

Materials and Methods: Between April 2016 - April 2018,
we retrospectively evaluated 12 patients who were hospitalized and treated with
SPM diagnosis at Health Practice and Research Center.

Results: Of the 12 patients with spontaneous pneumomediastinum,
9 (75%) were male and 3 (25%) were female. Patients had a mean age of 30.5
years (range 15-42 years), 2 patients admitted to the emergency service with
swelling and dyspnea complaints, 1 patient with cough and vomiting, 1 patient
with cough and chest pain, 3 patients with dyspnea and chest pain, 3 patients
with sore throat and chest pain, 2 patients with swelling in the neck after the
tooth extraction. 6 (50%) of the patients had a smoking history.

Conclusions: Spontaneous pneumomediastinum is a
disease that is seen rarely in emergencies and should be treated. Sometimes life-threatening
complications may develop. Other disorders in differential diagnosis should be
eliminated in spontaneous pneumomediastinum.

Keywords: Spontaneous pneumomediastinum,
Dyspnea, Chest pain, Subcutaneous emphysema

Keywords

Spontaneous pneumomediastinum, dyspnea, chest pain, subcutaneous emphysema

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