Pathak Vikas, Waite John, Chalise Som Nath
Department of Pulmonary and Critical Care, Riverside Health System, Newport News, VA, USA.
Lung India. 2021 Mar;38(Supplement):S69-S71. doi: 10.4103/lungindia.lungindia_914_20.
Coronavirus disease-2019 (COVID-19) pneumonia is one of the severe and most dreaded forms of illness caused by severe acute respiratory syndrome coronavirus 2. It often progresses to respiratory failure and acute respiratory distress syndrome (ARDS) requiring mechanical ventilation. ARDS can lead to multiple complications while on mechanical ventilation due to positive airway pressures in a fibrotic lung, one such complication is the development of alveolopleural fistula. Alveolopleural fistula has high morbidity and mortality. We used endobronchial valve in a patient with COVID-19-related ARDS with persistent air leak (alveolopleural fistula), which allowed us to remove the chest tube and wean the patient successfully off mechanical ventilation.
2019冠状病毒病（COVID-19）肺炎是由严重急性呼吸综合征冠状病毒2引起的最严重且最可怕的疾病形式之一。它常进展为呼吸衰竭和需要机械通气的急性呼吸窘迫综合征（ARDS）。由于纤维化肺中的气道正压，ARDS在机械通气时可导致多种并发症，肺泡胸膜瘘就是其中一种并发症。肺泡胸膜瘘的发病率和死亡率很高。我们在一名患有与COVID-19相关的ARDS且持续漏气（肺泡胸膜瘘）的患者中使用了支气管内瓣膜，这使我们能够拔除胸管并成功使患者脱离机械通气。
