Does mediastinal emphysema belch?

summary

Mediastinal emphysema refers to the air entering the connective tissue space of mediastinal pleura for various reasons, which can be spontaneous, chest trauma, esophageal perforation, iatrogenic factors, etc. Because illness is in people's body, burping and swallowing breath often happen in normal life, so we don't have to panic.

Does mediastinal emphysema belch?

Most of the patients with mild mediastinal emphysema were treated by bed rest, antibiotics, pain relief, oxygen inhalation and other general treatment, and gas absorption was cured about one week. A few patients fasted and were given parenteral nutrition. Closed drainage was performed for patients caused by trauma or tension pneumothorax. The ruptured trachea and leaky esophagus were repaired and sutured. The primary tumor was treated with comprehensive treatment.

In traumatic mediastinal emphysema, gas can enter mediastinum through the rupture of trachea and esophagus. After the neck injury or when the drainage strip is placed, the gas can enter the mediastinum due to the suction effect of the negative pressure of the chest, resulting in mediastinal emphysema. In patients with a history of obstructive pulmonary emphysema, gas can also enter the mediastinum after the rupture of pulmonary bullae. Infants can suffer from acute bronchiolitis and asthma, alveolar rupture caused by mediastinal emphysema. In patients with artificial pneumoperitoneum or other perverse inflation (e.g. laparoscopic surgery or abdominal aerography), the gas can ascend into the mediastinum along the thoracoperitoneal hiatus, causing mediastinal emphysema. Air enters through the chest wall. Mediastinal emphysema is rare.

Spontaneous mediastinal emphysema often occurs in severe cough, nausea, vomiting, persistent asthma and other forced breath holding time. At this time, the glottis is closed and the pressure of chest and abdominal cavity is increased, which leads to the excessive expansion of alveoli. When the pressure in the alveoli exceeds the pressure of pulmonary vessels, the alveoli will rupture and the gas will escape into the interstitium and move into the mediastinum along the vascular sheath, resulting in mediastinal emphysema.

matters needing attention

Daily nursing work should be carried out normally. Open and close the windows frequently, keep the indoor ventilation and the hospital clean, and adjust the temperature and humidity. Pay attention to the oral care of patients, get up every morning, before and after meals, before going to bed, clean the mouth. Take your temperature regularly every day to see if there is any possibility of infection.