| Etiologies of spontaneous pneumomediastinum in children in middle Taiwan. | |
| | |
MedLine Citation:
|
PMID: 20687204 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
PATIENTS AND METHODS: Total 37 children with SPM were analyzed from two medical centers in middle Taiwan from 1994 to 2007. RESULTS: Incidence of SPM in children was 1:11,726 patients at Department of Pediatric Emergency in middle Taiwan. Bimodal peak in incidence occurred in those under 7 and in those aged 15-18 years old. The Characteristic symptoms were dyspnea (64.9%), followed by chest pain (62.2%) and neck pain (40.5%); common specific physical signs were subcutaneous emphysema (SCE) (67.6%) and Hammer's sign (13.5%). Trigger factors were infection (43.2%), asthma (21.0%), esophageal rupture (5.4%), foreign body aspiration (2.7%), and diabetic ketoacidosis (2.7%). Idiopathic SPM accounted for 35.1% of patients with mean age 14.1 years. In age distribution, preschoolers (<7 years old) got SPM mostly due to lower respiratory tract infection. In adolescents, the most common etiologies were asthma and upper respiratory tract infection. Mean hospitalization was 6.4 days. Although 17 (46.0%) patients needed intensive care, nearly all had complete resolution in chest radiography before discharge. CONCLUSION: Clinician should keep alert to incidence of SPM from these symptoms. Etiologies varied with age and treatment must target on factors and underlying disease. |
| | |
Authors:
|
Chia-Ying Lee; Chou-Chieh Wu; Ching-Yuang Lin |
Related Documents
:
|
8141684 - Common health problems in northern territory aboriginal children. 3102184 - Long-term experience with combined action of antibacterials. 8993064 - Guillain-barré syndrome. 11177064 - Reliability of the urinalysis for predicting urinary tract infections in young febrile ... 8200974 - Islet cell antibodies predict insulin-dependent diabetes in united states school age ch... 824474 - Nephrotic syndrome in children-a clinical study. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Pediatric pulmonology Volume: 45 ISSN: 1099-0496 ISO Abbreviation: Pediatr. Pulmonol. Publication Date: 2010 Sep |
Date Detail:
|
Created Date: 2010-08-30 Completed Date: 2010-12-15 Revised Date: 2011-01-11 |
Medline Journal Info:
|
Nlm Unique ID: 8510590 Medline TA: Pediatr Pulmonol Country: United States |
Other Details:
|
Languages: eng Pagination: 869-73 Citation Subset: IM |
Copyright Information:
|
(c) 2010 Wiley-Liss, Inc. |
Affiliation:
|
Department of Pediatrics, Children's Medical Center, China Medical University Hospital, Taichung, Taiwan. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Asthma / complications* Child Child, Preschool Cough / complications Female Humans Infant Male Mediastinal Emphysema / etiology*, radiography Respiratory Tract Infections / complications* Retrospective Studies Taiwan |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Flow cytometric analysis of peripheral blood dendritic cells in patients with severe sepsis.
Next Document: Successful diagnosis and treatment of congenital tracheal web using a fiberoptic bronchoscope.