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一名患有新型冠状病毒肺炎的青少年出现自发性血气胸。

Spontaneous hemopneumothorax in an adolescent with COVID-19.

作者信息

Montgomery A B, Finck C

机构信息

Department of Pediatrics and Surgery, University of Connecticut School of Medicine, 263 Farmington Avenue, Farmington, CT, 06030, USA.

Connecticut Children's Department of Pediatric Surgery, 282 Washington Street, Hartford, CT, 06106, USA.

出版信息

J Pediatr Surg Case Rep. 2021 Jun;69:101852. doi: 10.1016/j.epsc.2021.101852. Epub 2021 Apr 2.

DOI:10.1016/j.epsc.2021.101852
PMID:33828949
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8016539/
Abstract

As coronavirus disease 2019 (Covid-19) continues to spread world-wide, new symptoms associated with the disease continue to appear. Common manifestations include fever, shortness of breath, and gastrointestinal illness. In addition, COVID is known to induce coagulopathy. Here, we present the case of a 17-year-old male who presented with a massive hemopneumothorax and was found to incidentally be positive for Covid-19. We suspect that he had a primary pneumothorax from a bleb and the hemothorax could've been induced by the coagulopathic state induced by COVID infection.

摘要

随着2019冠状病毒病(Covid-19)在全球范围内持续传播,与该疾病相关的新症状不断出现。常见表现包括发热、呼吸急促和胃肠道疾病。此外,已知新冠病毒会引发凝血病。在此,我们报告一例17岁男性病例,该患者出现大量血气胸,经检测意外发现新冠病毒呈阳性。我们怀疑他原发性气胸由肺大疱引起,而血胸可能是由新冠病毒感染诱发的凝血病状态所致。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd25/8016539/7a0d44f0baac/gr3_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd25/8016539/9b147132b549/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd25/8016539/e24209c23fef/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd25/8016539/7a0d44f0baac/gr3_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd25/8016539/9b147132b549/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd25/8016539/e24209c23fef/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd25/8016539/7a0d44f0baac/gr3_lrg.jpg

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本文引用的文献

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COVID-19 in Children: Looking Forward, Not Back.儿童新冠病毒感染:向前看,而非回头看。
Pediatrics. 2021 Jan;147(1). doi: 10.1542/peds.2020-029736. Epub 2020 Oct 8.
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The authors' response to "A more realistic relationship between covid 19 and hemopneumothorax".作者对《新型冠状病毒肺炎与血气胸之间更现实的关系》的回应。
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