式引流,纵隔气肿缓解者无需进一步处理,若症状无改善,应及时行胸骨上前纵隔切开引流。对于纵隔内空腔器官自发性破裂所致者,在积极引流、修补破口、加强营养支持的同时,还需加强抗感染治疗。参考文献[1].AmmariAN,JenA,TowersH,etal.Subcutaneousemphysemaandpneumomediastinumaspresentingmanifestationsofneonataltrachealinjury[J].JPerinatol,2002,22(6):499-501.[2].MiuraH,TairaO,HiraguriS,etal.Clinicalfeaturesofmedicalpneumomediastinum[J].AnnalsofThoracic&CardiovascularSurgery,2003,9(3):188-191.[3].MussacT,WiedemannE,SzeimiesU,etal.Pneumoperitoneum,pneumorectroperitoneum,andpneumomediastinum.Causedbylaryngealfractureaftermultipletrama[J].AmJEmergMed,2001,19(6):523-524.[4].胡文莉,郭晋爱,程春,等.后纵隔病变致左室局部舒张功能障碍2例[J].临床荟萃,2007,22(16):1164-1165.[5].姚珂,闵家新,张国强,等.纵隔气肿对人体心肺功能的影响[J].创伤外科杂志,2004,6(3):187-188.[6].FetteA,HollwarthME.Tracheobronchialinjuriesinchildhood:reviewoftwocases[J].JPediatrSurg,2001,36(3):521-523.
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