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一名既往健康的非通气型新冠病毒肺炎患者出现延迟性自发性双侧气胸

Delayed Spontaneous Bilateral Pneumothorax in a Previously Healthy Nonventilated COVID-19 Patient.

作者信息

Huis In 't Veld Maite A, Ten Kortenaar Suzanne W, Bodifee Thomas M, Stavast Jeroen, Kessels Bart

机构信息

Department of Emergency Medicine, Elisabeth TweeSteden Ziekenhuis, Tilburg, the Netherlands; Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, Maryland.

Department of Emergency Medicine, Elisabeth TweeSteden Ziekenhuis, Tilburg, the Netherlands.

出版信息

J Emerg Med. 2021 Jun;60(6):793-795. doi: 10.1016/j.jemermed.2021.01.008. Epub 2021 Jan 22.

DOI:10.1016/j.jemermed.2021.01.008
PMID:33678511
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7825815/
Abstract

BACKGROUND

The novel coronavirus disease 2019 (COVID-19) is a recent viral outbreak that has rapidly spread to multiple countries worldwide. Little is known about COVID-19 infection-related complications.

CASE REPORT

We report a patient who developed spontaneous bilateral pneumothorax after a recent COVID-19 infection. To our knowledge, this is the first reported case of spontaneous bilateral pneumothorax in a patient with recent confirmed severe acute respiratory syndrome coronavirus-2 infection without any risk factors for pneumothorax and who had not received positive pressure ventilation. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: There may be a possible correlation between a recent COVID-19 infection and the development of spontaneous pneumothorax. The diagnosis of spontaneous pneumothorax should be considered in any patient with known or suspected recent COVID-19 infection who presents with new acute symptoms consistent with pneumothorax or sudden clinical deterioration.

摘要

背景

2019年新型冠状病毒病(COVID-19)是最近爆发的一种病毒,已迅速蔓延至全球多个国家。关于COVID-19感染相关并发症的了解甚少。

病例报告

我们报告一名患者,在近期感染COVID-19后出现自发性双侧气胸。据我们所知,这是首例报告的近期确诊严重急性呼吸综合征冠状病毒2感染患者发生自发性双侧气胸的病例,该患者无任何气胸危险因素且未接受正压通气。急诊科医生为何应了解这一情况?:近期COVID-19感染与自发性气胸的发生之间可能存在关联。对于任何已知或疑似近期感染COVID-19且出现与气胸相符的新急性症状或临床突然恶化的患者,均应考虑自发性气胸的诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddfd/7825815/876b51f79ebc/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddfd/7825815/876b51f79ebc/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddfd/7825815/876b51f79ebc/gr1_lrg.jpg

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Turk Thorac J. 2022 Sep;23(5):343-347. doi: 10.5152/TurkThoracJ.2022.22061.