Department of Biomedical Science for Health, Division of General Surgery, Sant'Ambrogio Clinical Institute, University of Milan, Milan, Italy.
Department of Biomedical Science for Health, Division of General Surgery, Sant'Ambrogio Clinical Institute, University of Milan, Milan, Italy.
Ann Thorac Surg. 2020 Nov;110(5):e413-e415. doi: 10.1016/j.athoracsur.2020.04.011. Epub 2020 Apr 27.
Several studies have been published describing the clinical and radiographic findings of coronavirus disease 2019-related pneumonia. Therefore, there is currently a lack of pathologic data on its effects in intubated patients. Pneumothorax may occur rarely and results from a combination of fibrotic parenchyma and prolonged high-pressure ventilation. Chest drainage represents first-line treatment. However, in cases of persistent pneumothorax, thoracoscopy and bleb resection may be feasible options to reduce air leak and improve ventilation. This report describes the cases of 2 patients with coronavirus disease 2019 who were successfully treated with thoracoscopy, bleb resection, and pleurectomy for persistent pneumothorax.
已经发表了几项研究，描述了与 2019 年冠状病毒病相关肺炎的临床和影像学表现。因此，目前缺乏关于其对插管患者影响的病理数据。气胸可能很少发生，是由于纤维性肺实质和长时间高压通气的综合作用所致。胸腔引流是一线治疗方法。然而，对于持续性气胸，胸腔镜和疱切除术可能是减少漏气和改善通气的可行选择。本报告介绍了 2 例经胸腔镜、疱切除术和胸膜切除术成功治疗持续性气胸的 2019 年冠状病毒病患者。
