新型冠状病毒肺炎并发自发性纵隔气肿、气胸及皮下气肿：病例报告与文献综述

Shan Shi, Guangming Li, Wei Lei, Xuedong Yang

China Academy of Traditional Chinese Medical Sciences, Guang'anmen Hospital, Department of Radiology, Xicheng District, Beijing, China.

Hubei University of Arts and Science, Xiangyang Central Hospital, Department of Radiology, Xiangyang City, Hubei, China.

Rev Inst Med Trop Sao Paulo. 2020 Oct 9;62:e76. doi: 10.1590/S1678-9946202062076. eCollection 2020.

Coronavirus Disease 2019 (COVID-19) has rapidly spread worldwide. Numerous studies have shown its typical and atypical CT findings. We report one COVID-19 patient who presented with a transient pneumothorax, spontaneous pneumomediastinum (SP), as well as subcutaneous emphysema during hospitalization. Chest CT andclinical findings were discussed, and a literature review is presented. The probable cause of SP in COVID-19 was alveolar damage. Once pneumothorax and SP were present, the patient should be carefully monitored to prevent respiratory deterioration, especially when lung lesions are severe.

2019冠状病毒病（COVID-19）已在全球迅速传播。众多研究已表明其典型和非典型的CT表现。我们报告1例COVID-19患者，该患者在住院期间出现短暂性气胸、自发性纵隔气肿（SP）以及皮下气肿。讨论了胸部CT和临床 findings，并进行了文献综述。COVID-19中SP的可能原因是肺泡损伤。一旦出现气胸和SP，应仔细监测患者以防止呼吸功能恶化，尤其是在肺部病变严重时。