COVID - 19患者自发性气胸和纵隔气肿:病例系列

International journal of anesthesiology & research Pub Date : 2021-07-15 DOI:10.31907/2310-9394.2021.09.03

Molano Franco Daniel, Valencia Albert, Nieto Victor, Robayo Ivan, Osorio Perdomo Daniela, Rosero Daniela

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引用次数: 1

摘要

SARS COV2感染可产生气胸和自发性纵隔气肿并发症，这些并发症与较差的预后相关。我们报告了一系列在重症监护病房治疗肺炎和COVID - 19期间出现气胸或自发性纵隔气引起的皮下肺气肿的病例。该组患者在所有病例中均表现为延长机械通气时间，难治性低氧血症和高碳酸血症，急性肾功能衰竭，细菌重复感染，需要广谱抗生素和血管加压药物支持。关键词:皮下肺气肿，自发性气胸，自发性纵隔气肿，COVID - 19

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Spontaneous Pneumothorax and Pneumomediastinum in COVID 19: Case Series

SARS COV2 infection can produce pneumothorax and spontaneous pneumomediastinum complications, which are associated with a worse prognosis. Here we present a series of cases of patients who presented subcutaneous emphysema caused by pneumothorax or spontaneous pneumomediastinum during care in the intensive care unit for pneumonia and COVID 19. This group of patients showed, in all cases, prolonged mechanical ventilation, refractory hypoxemia and hypercapnia, acute renal failure, bacterial superinfection, need for broad-spectrum antibiotics, and vasopressor support. Keywords: Subcutaneous Emphysema, Spontaneous Pneumothorax, Spontaneous Pneumomediastinum, COVID 19

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International journal of anesthesiology & research

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