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无基础危险因素的COVID-19肺炎患者发生气胸

Pneumothorax in a COVID-19 Pneumonia Patient without Underlying Risk Factors.

作者信息

Yamaya Takafumi, Baba Tomohisa, Hagiwara Eri, Ikeda Satoshi, Niwa Takashi, Kitayama Takaaki, Murohashi Kota, Higa Katsuyuki, Sato Yozo, Ogura Takashi

机构信息

Department of Respiratory Medicine, Kanagawa Cardiovascular and Respiratory Center, Japan.

出版信息

Intern Med. 2020 Nov 15;59(22):2921-2925. doi: 10.2169/internalmedicine.5731-20. Epub 2020 Oct 7.

Abstract

Coronavirus disease 2019 (COVID-19) has been recognized as a worldwide pandemic. However, the clinical course of COVID-19 remains poorly characterized. Although some cases of pneumothorax have been reported, they all had pulmonary complications or were managed with mechanical ventilation. We herein report a case of pneumothorax that developed even though the patient had no pulmonary underlying diseases and had never been managed with mechanical ventilation. In the present case, a lung bulla was found on chest computed tomography during treatment for COVID-19. We concluded that COVID-19 affected the formation of the lung bulla and induced the complication of pneumothorax.

摘要

2019冠状病毒病(COVID-19)已被公认为全球大流行病。然而,COVID-19的临床病程仍未得到充分描述。尽管已有一些气胸病例的报道,但所有这些病例都有肺部并发症或接受过机械通气治疗。我们在此报告一例气胸病例,该患者没有肺部基础疾病,也从未接受过机械通气治疗。在本病例中,患者在COVID-19治疗期间的胸部计算机断层扫描中发现了肺大疱。我们得出结论,COVID-19影响了肺大疱的形成并诱发了气胸并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ffd/7725644/fc3505acd458/1349-7235-59-2921-g001.jpg

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