Mediastinal pneumothorax with chest pain and shortness of breath after being kicked in the chest is a more serious condition. Mediastinal pneumoperitoneum with chest pain and shortness of breath may be caused by tension pneumothorax, in which the pneumoperitoneum in the mediastinum may gradually increase, restricting the diastole of the lungs, and if it is not treated in time, asphyxiation may occur and lead to death. If the mediastinal pneumomediastinum is formed after traumatic injury, you can carry out closed chest drainage under the guidance of the doctor to gradually discharge the internal gas, and should be appropriate bed rest and active observation, and if necessary, you also need to follow the doctor’s instructions to use penicillin or levofloxacin and other drugs for anti-infection treatment, in order to slowly return to normal. Mediastinal pneumoperitoneum symptoms of chest tightness and shortness of breath, may be life-threatening, need to consult a doctor in time to check and receive regular treatment, do not delay the condition leading to serious consequences. Drugs should be used under the guidance of a doctor, avoid self-medication.