Analysing the Clinical Features of Pneumomediastinum Associated with Diabetic Ketoacidosis in 79 Cases

Weidong Zhang,* Jingfang Chen,* Xiaoming Wu, Luyu Chen, Jinxing Wei, Mingqiang Xue, Qingzheng Liang Department of Thoracic Surgery, Henan Provincial Chest Hospital, Zhengzhou, Henan Province 450003, People’s Republic of China*These authors contributed equally to this workCorrespondence: We...

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Autores principales:	Zhang W, Chen J, Wu X, Chen L, Wei J, Xue M, Liang Q
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	pneumomediastinum diabetic ketoacidosis treatment diagnosis; Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/6ad0f012ce05440fb055c483f6d2d9ee
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spelling	oai:doaj.org-article:6ad0f012ce05440fb055c483f6d2d9ee2021-12-02T05:46:43ZAnalysing the Clinical Features of Pneumomediastinum Associated with Diabetic Ketoacidosis in 79 Cases1178-7007https://doaj.org/article/6ad0f012ce05440fb055c483f6d2d9ee2020-02-01T00:00:00Zhttps://www.dovepress.com/analysing-the-clinical-features-of-pneumomediastinum-associated-with-d-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Weidong Zhang,* Jingfang Chen,* Xiaoming Wu, Luyu Chen, Jinxing Wei, Mingqiang Xue, Qingzheng Liang Department of Thoracic Surgery, Henan Provincial Chest Hospital, Zhengzhou, Henan Province 450003, People’s Republic of China*These authors contributed equally to this workCorrespondence: Weidong Zhang Room 1, Weiwu Road, Zhengzhou City, Henan Province 450003, People’s Republic of ChinaEmail zhangweidong0371@126.comObjective: To analyse the clinical features of pneumomediastinum associated with DKA (diabetic ketoacidosis) to improve clinicians’ understanding of the disease.Methods: A total of 78 patients with pneumomediastinum associated with DKA were identified in the literature search, and one patient treated in our hospital was included. The clinical features of the 79 patients were retrospectively analysed, and the pathogenesis, clinical symptoms, diagnostic methods, treatment strategies and prognoses were explored.Results: All cases were confirmed by chest CT (computed tomography), and Kussmaul respiration, severe vomiting, chest pain were common symptoms. The main treatment principle was to correct acidosis and treat the primary disease. The majority of patients recovered within 1– 2 weeks, and only 2 patients died.Conclusion: Pneumomediastinum associated with DKA is a rare disease, and it has a benign course when an early diagnosis is made and aetiological treatment is administered.Keywords: pneumomediastinum, diabetic ketoacidosis, treatment, diagnosisZhang WChen JWu XChen LWei JXue MLiang QDove Medical Pressarticlepneumomediastinumdiabetic ketoacidosistreatmentdiagnosis;Specialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 13, Pp 405-412 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	pneumomediastinum diabetic ketoacidosis treatment diagnosis; Specialties of internal medicine RC581-951
spellingShingle	pneumomediastinum diabetic ketoacidosis treatment diagnosis; Specialties of internal medicine RC581-951 Zhang W Chen J Wu X Chen L Wei J Xue M Liang Q Analysing the Clinical Features of Pneumomediastinum Associated with Diabetic Ketoacidosis in 79 Cases
description	Weidong Zhang,* Jingfang Chen,* Xiaoming Wu, Luyu Chen, Jinxing Wei, Mingqiang Xue, Qingzheng Liang Department of Thoracic Surgery, Henan Provincial Chest Hospital, Zhengzhou, Henan Province 450003, People’s Republic of China*These authors contributed equally to this workCorrespondence: Weidong Zhang Room 1, Weiwu Road, Zhengzhou City, Henan Province 450003, People’s Republic of ChinaEmail zhangweidong0371@126.comObjective: To analyse the clinical features of pneumomediastinum associated with DKA (diabetic ketoacidosis) to improve clinicians’ understanding of the disease.Methods: A total of 78 patients with pneumomediastinum associated with DKA were identified in the literature search, and one patient treated in our hospital was included. The clinical features of the 79 patients were retrospectively analysed, and the pathogenesis, clinical symptoms, diagnostic methods, treatment strategies and prognoses were explored.Results: All cases were confirmed by chest CT (computed tomography), and Kussmaul respiration, severe vomiting, chest pain were common symptoms. The main treatment principle was to correct acidosis and treat the primary disease. The majority of patients recovered within 1– 2 weeks, and only 2 patients died.Conclusion: Pneumomediastinum associated with DKA is a rare disease, and it has a benign course when an early diagnosis is made and aetiological treatment is administered.Keywords: pneumomediastinum, diabetic ketoacidosis, treatment, diagnosis
format	article
author	Zhang W Chen J Wu X Chen L Wei J Xue M Liang Q
author_facet	Zhang W Chen J Wu X Chen L Wei J Xue M Liang Q
author_sort	Zhang W
title	Analysing the Clinical Features of Pneumomediastinum Associated with Diabetic Ketoacidosis in 79 Cases
title_short	Analysing the Clinical Features of Pneumomediastinum Associated with Diabetic Ketoacidosis in 79 Cases
title_full	Analysing the Clinical Features of Pneumomediastinum Associated with Diabetic Ketoacidosis in 79 Cases
title_fullStr	Analysing the Clinical Features of Pneumomediastinum Associated with Diabetic Ketoacidosis in 79 Cases
title_full_unstemmed	Analysing the Clinical Features of Pneumomediastinum Associated with Diabetic Ketoacidosis in 79 Cases
title_sort	analysing the clinical features of pneumomediastinum associated with diabetic ketoacidosis in 79 cases
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/6ad0f012ce05440fb055c483f6d2d9ee
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Analysing the Clinical Features of Pneumomediastinum Associated with Diabetic Ketoacidosis in 79 Cases

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