Mehmet Akif TEZCAN, İbrahim Ethem ÖZSOY

Hamman Sendromu (Spontan Pnömomediastinum)

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

Anahtar Kelimeler:

Spontan pnömomediastinum, dispne, göğüs ağrısı, subkutan amfizem

Hamman's Syndrome (Spontaneous Pneumomediastinum)

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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