Vazzana Natale, Ognibene Silvia, Dipaola Francesco
Department of Internal Medicine, C. Magati Hospital, Scandiano, AUSL Reggio Emilia, Italy.
Adv Respir Med. 2020;88(5):466-467. doi: 10.5603/ARM.a2020.0141.
Pneumomediastinum is an uncommon but well recognized complication of both invasive and non-invasive mechanical ventilation. Spontaneous pneumomediastinum has been observed in association with a variety of structural lung diseases including severe interstitial disorders. More recently it has been reported complicating the course of COVID-19 pneumonia. In the present report we describe a case of pneumomediastinum associated with subcutaneous emphysema in a patient with severe respiratory failure due to extensive interstitial pneumoniae correlated to SARS-CoV-2 infection which necessitated non-invasive ventilatory support. Prompt recognition is required during ventilatory support as it may promote its progression. Further data are needed in order to identify the mechanisms, frequency, risk factors and prognostic role of this rare complication of the clinical course of COVID-19.
纵隔气肿是有创和无创机械通气一种罕见但已被充分认识的并发症。自发性纵隔气肿已被观察到与多种结构性肺部疾病有关，包括严重的间质性疾病。最近有报道称其使新型冠状病毒肺炎病程复杂化。在本报告中，我们描述了1例与皮下气肿相关的纵隔气肿病例，该患者因与严重急性呼吸综合征冠状病毒2（SARS-CoV-2）感染相关的广泛间质性肺炎导致严重呼吸衰竭，需要无创通气支持。在通气支持期间需要及时识别，因为它可能会促使其进展。需要更多数据以确定这种新型冠状病毒肺炎临床病程罕见并发症的机制、发生率、危险因素和预后作用。
