COVID-19肺炎并发纵隔气肿:病例系列

Iv. Novakov, E. Taylor
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引用次数: 0

摘要

背景:纵隔气肿(PM)是一种罕见的病理实体,分为两类:继发性-具有已知的病因,自发性-没有明确的病因。本出版物旨在强调作为COVID-19肺炎并发症的两类PM。病例系列:本研究包括6例作为COVID-19肺炎并发症的PM患者。常规胸部x光片和胸部计算机断层扫描用于确定PM。在我们的两例患者中,PM是COVID- 19肺炎的晚期后果。在另外两例患者中,PM是在COVID-19肺炎保守治疗期间建立的。后2例患者均在治疗急性呼吸窘迫综合征(ARDS)时经气管插管和机械通气诊断为PM。在我们的病例中,有4例患者并发自发性气胸,导致有创性治疗PM -胸管插入纵隔引流。另外2例均选择PM保守治疗。确认有4例死亡,死亡率为75%。结论:在这个病例系列中,我们强调了两种形式的PM -原发性和继发性,作为COVID-19肺炎的严重并发症。我们的研究强调了在COVID-19肺炎中意识到PM的重要性,即使在没有机械通气的患者中也是如此。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
PNEUMOMEDIASTINUM AS A COMPLICATION OF COVID-19 PNEUMONIA: CASE SERIES
Background: Pneumomediastinum (PM) is a rare pathological entity that is divided into two categories: secondary - with a known etiological factor, and spontaneous - with no clear etiology. This publication aims to highlight the two categories of PM as a complication of COVID-19 pneumonia. Case series: Six patients with PM as a complication of COVID-19 pneumonia were included in this study. Conventional chest X-rays and chest computed tomography were used to determine PM. In two of our patients, PM was a late consequence of COVID- 19 pneumonia. In two others, PM was established during conservative treatment of COVID-19 pneumonia. And for the last two cases, PM was diagnosed after tracheal intubation and mechanical ventilation while treating acute respiratory distress syndrome (ARDS). Concomitant spontaneous pneumothorax was found in four of our patients, leading to the invasive management of PM – drainage of the mediastinum by chest tube insertion. Conservative treatment of PM was the method of choice for the other two cases. Death was established in four cases – a rate of 75 %. Conclusion: With this case series, we highlight PM in its two forms - primary and secondary, as a serious complication of COVID-19 pneumonia. Our study highlights the importance of being aware of PM in COVID-19 pneumonia, even in patients managed without mechanical ventilation.
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