Poudel Ayusha, Adhikari Anurag, Aryal Barun B, Poudel Yashasa, Shrestha Ishu
Intensive Care Unit, Nepal Korea Friendship Municipality Hospital, Madhyapur Thimi, NPL.
Emergency Medicine, BP Smriti Hospital, Kathmandu, NPL.
Cureus. 2021 Aug 9;13(8):e17025. doi: 10.7759/cureus.17025. eCollection 2021 Aug.
Pneumothorax is defined as the condition in which air is collected between the visceral and parietal pleura. Pneumothorax as a complication of coronavirus disease 2019 (COVID-19) infection has been reported in relatively few cases and recurrent pneumothorax is even rarer. We present a case of a 50-year-old critically ill patient who required mechanical ventilation for 55 days and developed recurrent bilateral pneumothorax. The patient initially presented with shortness of breath and cough. He was found to be COVID-19 positive on the polymerase chain reaction (PCR) test. Subsequently, his oxygen demand increased, and he ultimately needed mechanical ventilation. He developed four episodes of pneumothorax. The patient was managed in all four episodes with intercostal tube insertion. To prevent subsequent episodes, pleurodesis was performed after the fourth episode of pneumothorax.
气胸的定义是空气积聚在内脏胸膜和壁层胸膜之间的情况。作为2019冠状病毒病（COVID-19）感染并发症的气胸报告病例相对较少，而复发性气胸更为罕见。我们报告一例50岁的重症患者，该患者需要机械通气55天，并发生了复发性双侧气胸。患者最初表现为呼吸急促和咳嗽。聚合酶链反应（PCR）检测发现他COVID-19呈阳性。随后，他的氧气需求增加，最终需要机械通气。他发生了四次气胸发作。在所有四次发作中，患者均通过插入肋间导管进行治疗。为防止后续发作，在第四次气胸发作后进行了胸膜固定术。
