Ahmed Okba F, Kakamad Fahmi H, Hama Amin Bnar J, Abdullah Berwn A, Hassan Marwan N, Salih Rawezh Q, Mohammed Shvan H, Othman Snur, Ahmed Gasha S, Salih Abdulwahid M
Mosul Cardiac Center, Mosul, Iraq.
Department of Surgery, College of Medicine, University of Sulaimani, Sulaimani, Kurdistan Region, Iraq.
Ann Med Surg (Lond). 2021 Dec;72:103052. doi: 10.1016/j.amsu.2021.103052. Epub 2021 Nov 10.
Although the rate and severity of complications after coronavirus 2019 disease (COVID-19) resolution is currently unknown, evidence regarding their presence is increasing in the literature. This study presents a series of cases with post COVID-19 short-term pulmonary complications.
This is a single center retrospective case series study. The demographic and clinical data were collected from the center's electronic records. All the included cases were confirmed COVID-19 patients who had pulmonary complications even after their recovery.
Nineteen COVID-19 patients were involved in this study. Fourteen of them were male (73.7%) and only 5 (26.3%) cases were female, with a mean age of 52.05 years (26-77). All of the patients developed severe COVID-19 and were admitted to intensive care unit (ICU). The average infection duration was 13.5 days (10-21). The most common complaints after recovery from COVID-19 were shortness of breath, fever, and hemoptysis. Computed tomography scan showed different pulmonary abnormalities between the cases. Different surgical procedures were performed for the patients according to their conditions, such as decortications, lobectomy, and bullectomy. More than half of the patients (n = 10) recovered and were discharged from hospital without complications, five patients were admitted to the ICU, 3 cases developed mucormycosis, and one case passed away.
Following the resolution of COVID-19, patients may experience severe pulmonary complications that may last for months and can affect quality of life, ICU admission, or even death.
尽管2019冠状病毒病（COVID-19）康复后并发症的发生率和严重程度目前尚不清楚，但文献中关于其存在的证据正在增加。本研究报告了一系列COVID-19后短期肺部并发症的病例。
这是一项单中心回顾性病例系列研究。人口统计学和临床数据从该中心的电子记录中收集。所有纳入病例均为确诊的COVID-19患者，即使在康复后仍有肺部并发症。
本研究纳入了19例COVID-19患者。其中14例为男性（73.7%），仅5例（26.3%）为女性，平均年龄为52.05岁（26-77岁）。所有患者均患有重症COVID-19，并被收入重症监护病房（ICU）。平均感染持续时间为13.5天（10-21天）。COVID-19康复后最常见的症状是呼吸急促、发热和咯血。计算机断层扫描显示病例之间存在不同的肺部异常。根据患者情况为其实施了不同的外科手术，如剥脱术、肺叶切除术和肺大疱切除术。超过一半的患者（n = 10）康复并出院，无并发症，5例患者被收入ICU，3例发生毛霉菌病，1例死亡。
COVID-19康复后，患者可能会出现严重的肺部并发症，这些并发症可能持续数月，并可能影响生活质量、导致入住ICU，甚至死亡。
