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重症新型冠状病毒肺炎患者的呼吸机相关性肺损伤——病例报告:新型冠状病毒肺炎中的呼吸机相关性肺损伤

Ventilator associated lung injury in severe COVID-19 pneumonia patients - Case Reports: Ventilator associated lung injury in COVID-19.

作者信息

Gupta Vikash Kumar, Alkandari Buthaina Mohammad, Mohammed Wasif, Tobar Ahmed Mohamed, Abdelmohsen Mohsen Ahmed

机构信息

Jaber Al Ahmed Hospital, Kuwait.

Sabah Hospital, Kuwait.

出版信息

Eur J Radiol Open. 2020 Dec 9;8:100310. doi: 10.1016/j.ejro.2020.100310. eCollection 2021.

Abstract

Management of severe coronavirus disease 2019 requires advanced respiratory support modalities including invasive mechanical ventilation (IMV), continuous positive airway pressure (C-PAP), and non-invasive ventilation ((NIV). IMV leads to either subtle forms of lung injury (pulmonary edema, lung cysts) or more severe form of lung injury manifested as subcutaneous emphysema, pneumomediastinum, and pneumothorax (herein collectively termed barotrauma). We have described two cases showing the two end of spectrum of ventilator associated lung injury (VALI).

摘要

2019年重症冠状病毒病的管理需要先进的呼吸支持方式,包括有创机械通气(IMV)、持续气道正压通气(C-PAP)和无创通气(NIV)。IMV会导致轻微形式的肺损伤(肺水肿、肺囊肿)或更严重的肺损伤形式,表现为皮下气肿、纵隔气肿和气胸(在此统称为气压伤)。我们描述了两例显示呼吸机相关性肺损伤(VALI) spectrum两端情况的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe3b/7750144/d1820a67e48a/gr1.jpg

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