Eperjesiova Bianka, Hart Eric, Shokr Mohamed, Sinha Prabhat, Ferguson Gary T
Pulmonary and Critical Care Medicine, Ascension Providence Hospital, Southfield, USA.
Cardiology, Detroit Medical Center, Detroit, USA.
Cureus. 2020 Jul 3;12(7):e8996. doi: 10.7759/cureus.8996.
No spontaneous air leak case series have been described in the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) patient population thus far. We described seven spontaneous air leak cases we found in our coronavirus disease 2019 (COVID-19) positive 976-patient cohort. Five out of seven patients eventually required mechanical ventilation, and one of these patients died. All of our patients who demonstrated radiological air leaks after intubation died. No other precipitating factors offered in the literature thus far played a role in our patient population. We presume that acute lung injury leading to SARS-CoV-2 with associated acute respiratory distress syndrome (ARDS) predisposes patients to this rare complication.
迄今为止，尚未有关于严重急性呼吸综合征冠状病毒2（SARS-CoV-2）患者群体中自发性气胸病例系列的描述。我们描述了在我们的976例2019冠状病毒病（COVID-19）阳性患者队列中发现的7例自发性气胸病例。7例患者中有5例最终需要机械通气，其中1例死亡。所有在插管后出现影像学气胸的患者均死亡。迄今为止文献中提到的其他诱发因素在我们的患者群体中均未起作用。我们推测，导致SARS-CoV-2并伴有急性呼吸窘迫综合征（ARDS）的急性肺损伤使患者易患这种罕见的并发症。
