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新冠病毒感染所致自发性气胸:病例系列

COVID-Induced Spontaneous Pneumothoraxes: Case Series.

作者信息

Elkattawy Sherif, Ayad Sarah, Younes Islam, Singh Zamir, Alyacoub Ramez, Brescia Michael L

机构信息

Internal Medicine, Rutgers New Jersey Medical School/Trinitas Regional Medical Center, Elizabeth, USA.

Internal Medicine, St. George's University School of Medicine, Elizabeth, USA.

出版信息

Cureus. 2021 Apr 19;13(4):e14567. doi: 10.7759/cureus.14567.

DOI:10.7759/cureus.14567
PMID:34026383
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8133774/
Abstract

Severe acute respiratory syndrome-related coronavirus 2 (SARS-CoV-2) is a communicable disease leading to COVID-19 infection that resulted in worldwide flooding of medical centers with the shortage of ventilators in some areas. The respiratory system is the most affected by the novel virus. Clinical manifestations are diverse in severity, with the most common symptoms including fever, chills, cough, and shortness of breath. The contributing factor to the morbidity and mortality associated with this virus is the rapid clinical deterioration as a result of a heightened inflammatory response, requiring supplemental oxygen. Pneumothorax is an unusual complication that may further worsen the hypoxia and require immediate intervention. We present a case series of two patients with no risk factors for pneumothorax besides recent COVID-19 infection, who were found to have spontaneous pneumothoraxes.

摘要

严重急性呼吸综合征相关冠状病毒2(SARS-CoV-2)是一种导致COVID-19感染的传染病,它使全球医疗中心人满为患,一些地区还出现了呼吸机短缺的情况。呼吸系统是受这种新型病毒影响最严重的系统。临床表现严重程度各异,最常见的症状包括发热、寒战、咳嗽和呼吸急促。与这种病毒相关的发病和死亡的一个促成因素是炎症反应加剧导致临床迅速恶化,需要补充氧气。气胸是一种不常见的并发症,它可能会进一步加重缺氧情况,需要立即干预。我们报告了一个病例系列,两名患者除了近期感染COVID-19外没有气胸的危险因素,却被发现患有自发性气胸。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b57e/8133774/3bac7c889d37/cureus-0013-00000014567-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b57e/8133774/12298d5fecae/cureus-0013-00000014567-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b57e/8133774/60801e31bdf3/cureus-0013-00000014567-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b57e/8133774/8d90eda42c60/cureus-0013-00000014567-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b57e/8133774/3bac7c889d37/cureus-0013-00000014567-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b57e/8133774/12298d5fecae/cureus-0013-00000014567-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b57e/8133774/60801e31bdf3/cureus-0013-00000014567-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b57e/8133774/8d90eda42c60/cureus-0013-00000014567-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b57e/8133774/3bac7c889d37/cureus-0013-00000014567-i04.jpg

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本文引用的文献

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Tube thoracostomy during the COVID-19 pandemic: guidance and recommendations from the AAST Acute Care Surgery and Critical Care Committees.2019冠状病毒病大流行期间的胸腔闭式引流术:美国创伤外科学会急性护理外科学与重症监护委员会的指南与建议
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