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大型胸段软骨肉瘤切除术后的新型冠状病毒肺炎

Postoperative COVID-19 Pneumonia following Resection of a Large Thoracic Chondrosarcoma.

作者信息

Kaidi Austin C, Held Michael B, Park Paul J, Tyler Wakenda K

机构信息

Department of Orthopedic Surgery, Columbia University Medical Center, 622 W. 168th St, PH-11, New York, NY 10032, USA.

出版信息

Case Rep Orthop. 2021 Jan 23;2021:8866848. doi: 10.1155/2021/8866848. eCollection 2021.

DOI:10.1155/2021/8866848
PMID:33604092
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7868161/
Abstract

CASE

A 57-year-old man presenting with two months of insidious shoulder pain was found to have a large thoracic chondrosarcoma invading the spinal canal. The patient's orthopedic oncologist organized an interdisciplinary team including interventional radiology, thoracic surgery, neurosurgery, and plastic surgery. This allowed safe, en bloc tumor resection. The patient's postoperative course was complicated by COVID-19 pneumonia, which was rapidly identified and medically managed with full recovery.

CONCLUSION

Postoperative COVID-19 pneumonia can present insidiously and mimic other postoperative complications. Early identification and testing can promote rapid isolation, proper personal protective equipment use, and guide outcome-improving treatments.

摘要

病例

一名57岁男性，隐匿性肩部疼痛两个月，被发现患有侵犯椎管的巨大胸段软骨肉瘤。患者的骨肿瘤外科医生组建了一个跨学科团队，成员包括介入放射科、胸外科、神经外科和整形外科。这使得能够安全地整块切除肿瘤。患者术后病程因新冠病毒肺炎而复杂化，该肺炎很快被识别并通过药物治疗完全康复。

结论

术后新冠病毒肺炎可能隐匿出现并类似其他术后并发症。早期识别和检测可促进快速隔离、正确使用个人防护装备，并指导改善预后的治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21a8/7868161/948cd1d51a54/CRIOR2021-8866848.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21a8/7868161/bd9cc3d1b3da/CRIOR2021-8866848.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21a8/7868161/c4caaba42105/CRIOR2021-8866848.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21a8/7868161/5b7f18b762ba/CRIOR2021-8866848.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21a8/7868161/f612591fcc43/CRIOR2021-8866848.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21a8/7868161/948cd1d51a54/CRIOR2021-8866848.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21a8/7868161/bd9cc3d1b3da/CRIOR2021-8866848.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21a8/7868161/c4caaba42105/CRIOR2021-8866848.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21a8/7868161/5b7f18b762ba/CRIOR2021-8866848.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21a8/7868161/f612591fcc43/CRIOR2021-8866848.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21a8/7868161/948cd1d51a54/CRIOR2021-8866848.005.jpg

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