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新型冠状病毒肺炎所致双侧血气胸

Bilateral Hemopneumothorax in COVID-19.

作者信息

Salah Omer, Faisal Mohannad, Alshahwani Israa, Elhiday Abdelhaleem

机构信息

Internal Medicine, Hamad Medical Corporation, Doha, QAT.

Epidemiology and Public Health, Hamad Medical Corporation, Doha, QAT.

出版信息

Cureus. 2020 Sep 8;12(9):e10314. doi: 10.7759/cureus.10314.

Abstract

A 50-year-old previously healthy male presented with fever and cough for seven days, positive for COVID-19, and was admitted to Hazm Meberik General Hospital and treated as a case of severe COVID-19 pneumonia. After improvement, he was transferred to a quarantine facility, and he later developed bilateral hemopneumothorax requiring bilateral chest tubes. High-resolution CT showed bilateral emphysematous bullous disease. Tuberculosis workup was negative, and alpha 1 anti-trypsin levels were normal. Repeated Chest X-ray showed improvement and chest tubes were removed. The patient was discharged with follow-up with the thoracic surgery clinic.

摘要

一名50岁既往健康男性,出现发热和咳嗽7天,新冠病毒检测呈阳性,被收治于哈兹姆·梅贝里克综合医院,作为重症新冠病毒肺炎病例进行治疗。病情好转后,他被转至隔离设施,后来出现双侧血气胸,需要双侧放置胸管。高分辨率CT显示双侧肺气肿大疱性疾病。结核相关检查结果为阴性,α1抗胰蛋白酶水平正常。多次胸部X线检查显示病情改善,胸管被拔除。患者出院,并在胸外科门诊进行随访。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbd7/7544614/ba621462c090/cureus-0012-00000010314-i01.jpg

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本文引用的文献

3
Tension pneumothorax in a patient with COVID-19.一名新冠肺炎患者发生张力性气胸。
BMJ Case Rep. 2020 May 17;13(5):e235861. doi: 10.1136/bcr-2020-235861.
8
Pneumothorax.气胸
Respiration. 2008;76(2):121-7. doi: 10.1159/000135932. Epub 2008 Jun 26.
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Spontaneous pneumothorax.自发性气胸
N Engl J Med. 2000 Mar 23;342(12):868-74. doi: 10.1056/NEJM200003233421207.

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