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新冠病毒感染后巨大肺气囊:临床与病理视角

Post COVID-19 large pneumatocele: clinical and pathological perspectives.

作者信息

Hamad Abdel-Mohsen Mahmoud, El-Saka Hala Ahmed

机构信息

Department of Thoracic Surgery, King Fahd Specialist Hospital, Buraydah, Saudi Arabia.

Department of Cardiothoracic Surgery, Tanta University, Tanta, Egypt.

出版信息

Interact Cardiovasc Thorac Surg. 2021 Jul 26;33(2):322-324. doi: 10.1093/icvts/ivab072.

DOI:10.1093/icvts/ivab072
PMID:33764376
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8083772/
Abstract

A middle aged COVID-19 male patient presented 2 weeks after discharge with new onset of dyspnoea and desaturation. Radiological studies revealed right side pneumothorax and lower lobe cystic air space. Chest drain was inserted and on a later date the patient underwent thoracoscopic surgery where a large pneumatocele was identified. Deroofing and closure of sources of air leak were done. Histopathological examination demonstrated extensive fibrosis, intra-alveolar Haemorrhage and pneumocytes hyperplasia.

摘要

一名中年男性新冠患者出院2周后出现新发呼吸困难和血氧饱和度下降。影像学检查显示右侧气胸和下叶囊性气腔。插入胸腔引流管,之后患者接受了胸腔镜手术,术中发现一个大的肺气囊。进行了去顶术并封闭漏气来源。组织病理学检查显示广泛纤维化、肺泡内出血和肺细胞增生。