AKT�F K�M�R ASP�RASYONU �LE �L��K�L� PN�MOMED�AST�NUM

DURKAN, Atilla; �AKMAK, Muharrem; �ZT�RK, B�lent; KANDEM�R, Mehmet Nail; B�REL, Fatma Didem

Cilt : 37 Say� : 3 Y�l : 2023

37/3Son Say� Erken Bask� Ar�iv Pop�ler Makaleler

Yazar Katk� Formu

AKT�F K�M�R ASP�RASYONU �LE �L��K�L� PN�MOMED�AST�NUM [G��s Hastanesi Dergisi]

G��s Hastanesi Dergisi. 2016; 30(3): 183-186

AKT�F K�M�R ASP�RASYONU �LE �L��K�L� PN�MOMED�AST�NUM

Atilla DURKAN¹, Muharrem �AKMAK¹, B�lent �ZT�RK¹, Mehmet Nail KANDEM�R¹, Fatma Didem B�REL²
¹Sa�l�k Bakanl��, Gazi Ya�argil E�itim ve Ara�t�rma Hastanesi, G��s Cerrahisi, Diyarbak�r, T�rkiye
²Sa�l�k Bakanl��, Gazi Ya�argil E�itim ve Ara�t�rma Hastanesi, G��s Hastal�klar� ve T�berk�loz, Diyarbak�r, T�rkiye

Pn�momediastinum spontan ve travmatik pn�momediastinum olarak iki gruba ayr�l�r. Spontan pn�momediastinum �ok nadir olarak g�r�l�r. Travmatik pn�momediastinum ise cerrahi m�dahaleler, iatrojenik yaralanmalar, organ perforasyonlar� ve travma gibi nedenler ile olu�ur. Aktif k�m�r�n trakeobron�ial sisteme aspirasyonu sonucunda aspirasyon pn�monisi, barotravma, plevral ampiyem, ARDS gibi komplikasyonlar bildirilmi�tir. Pn�momediastinum ise son derece nadirdir. En s�k g�r�len semptomlar, g��s a�r�s�, nefes darl��, cilt alt� amfizem, ses k�s�kl�� ve yutma zorlu�udur. Tan� genelde posteroanterior akci�er grafisi ve lateral grafi ile konur. Tedavide ana yakla��m istirahat, oksijen tedavisi ve analjezidir. �al��mam�zda suisid giri�im sonras�nda hastaya verilen aktif k�m�r�n aspirasyonu sonras�nda geli�en nadir pn�momediastinum olgusunu payla�may� ama�lad�k.

Anahtar Kelimeler: Pn�momediastinum, K�m�r, Bronkoskopi

PNEUMOMEDIASTINUM ASSOCIATED WITH ASPIRATION OF ACTIVATED CHARCOAL

Pneumomediastinum divided into two group as primary and secondary pneumomediastinum. Spontaneous pneumomediastinum is seen very rare. Traumatic pneumomediastinum is characterized by the presence of air in the mediastinum with reason such as trauma, organ perforation, iatrogenic injuries, infections and surgery. Because of aspirating to the tracheobronchial system of activated charcoal, it has been reported to occur complications such as aspiration pneumonia, barotrauma, pleural empyema, ARDS. But, The pneumomediastinum is extremely rare. The most symptoms are chest pain, dyspnea. In our study, we aim to share a rare pneumomediastinum case associated with aspiration of activated charcoal after suicide attempts.

Keywords: Pneumomediastinum, Charcoal, Broncoscopy

Makale Dili: T�rk�e

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