Covid-19自发性纵隔肺炎:1例有创正压通气后完全缓解

IF 0.1 Q4 ANESTHESIOLOGY

Acta anaesthesiologica Belgica Pub Date : 2021-03-01 DOI:10.56126/72.1.5

M. Wolfskeil, Y. Devriendt, A. Dumoulin, P. Lormans

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引用次数: 0

摘要

我们报告了一名65岁的患者因Covid-19呼吸衰竭而入住重症监护病房(ICU)的病例。住院期间，他出现自发性纵隔气肿(SP)。迄今为止，与Covid-19相关的SP报告很少，对正压通气对这些患者的影响的了解就更少了。我们的患者首先接受高流量鼻插管氧疗(HFNC)治疗。由于进一步的呼吸恶化，他被支持无创通气(NIV)。后来，他需要插管和有创正压通气。尽管如此，在初次诊断后13天观察到纵隔气完全自发消退。

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Spontaneous pneumomediastinum in Covid-19 : a case of complete resolution despite invasive positive pressure ventilation

We present the case of a 65-year-old patient who was admitted to the intensive care unit (ICU) due to Covid-19 respiratory failure. During his hospital stay, he developed a spontaneous pneumomediastinum (SP). To date, there have been few reports of SP associated with Covid-19 and even less is known about the impact of positive pressure ventilation on these patients. Our patient was first treated with high-flow nasal cannula oxygen therapy (HFNC). Because of further respiratory deterioration, he was supported with non-invasive ventilation (NIV). Later, he required intubation and ventilation with invasive positive pressure ventilation. Despite this, a complete spontaneous resolution of the pneumomediastinum was observed 13 days after the initial diagnosis.

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来源期刊

Acta anaesthesiologica Belgica ANESTHESIOLOGY-

CiteScore

0.20

自引率

0.00%

发文量

期刊介绍： L’Acta Anaesthesiologica Belgica est le journal de la SBAR, publié 4 fois par an. L’Acta a été publié pour la première fois en 1950. Depuis 1973 l’Acta est publié dans la langue Anglaise, ce qui a été résulté à un rayonnement plus internationaux. Depuis lors l’Acta est devenu un journal à ne pas manquer dans le domaine d’Anesthésie Belge, offrant e.a. les textes du congrès annuel, les Research Meetings, … Vous en trouvez aussi les dates des Research Meetings, du congrès annuel et des autres réunions.