新冠肺炎：同一患者出现三种胸部并发症。
COVID-19 Pneumonia: Three Thoracic Complications in the Same Patient.
作者信息
Borghesi Andrea, Aggiusti Carlo, Farina Davide, Maroldi Roberto, Muiesan Maria Lorenza
机构信息
Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, ASST Spedali Civili of Brescia, Piazzale Spedali Civili 1, 25123 Brescia, Italy.
Department of Clinical and Experimental Sciences, University of Brescia, UOC 2° Medicina, ASST Spedali Civili of Brescia, Piazzale Spedali Civili 1, 25123 Brescia, Italy.
出版信息
Diagnostics (Basel). 2020 Jul 20;10(7):498. doi: 10.3390/diagnostics10070498.
The most dreaded thoracic complications in patients with coronavirus disease 2019 (COVID-19) are acute pulmonary embolism and pulmonary fibrosis. Both the complications are associated with an increased risk of morbidity and mortality. While acute pulmonary embolism is not a rare finding in patients with COVID-19 pneumonia, the prevalence of pulmonary fibrosis remains unclear. Spontaneous pneumothorax is another possible complication in COVID-19 pneumonia, although its observation is rather uncommon. Herein, we present interesting computed tomography images of the first case of COVID-19 pneumonia that initially developed acute pulmonary embolism and subsequently showed progression toward pulmonary fibrosis and spontaneous pneumothorax.
2019冠状病毒病（COVID-19）患者最可怕的胸部并发症是急性肺栓塞和肺纤维化。这两种并发症都与发病率和死亡率增加有关。虽然急性肺栓塞在COVID-19肺炎患者中并非罕见发现，但肺纤维化的患病率仍不清楚。自发性气胸是COVID-19肺炎另一种可能的并发症，不过其观察结果相当少见。在此，我们展示了首例COVID-19肺炎患者有趣的计算机断层扫描图像，该患者最初发生急性肺栓塞，随后进展为肺纤维化和自发性气胸。
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