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非插管型新冠病毒肺炎患者出现皮下气肿和自发性纵隔气肿:叙利亚首例病例报告

Subcutaneous emphysema and spontaneous pneumomediastinum in non-intubated COVID-19 patient: The first case report in Syria.

作者信息

Abbas Mohamad, Alibrahim Hidar, Hasan Mohamad, Khouri Abdullah, Sawaf Bisher, Swed Sarya

机构信息

Department of Pulmonology, Aleppo University Hospital, Aleppo, Syria.

Faculty of Human Medicine, Aleppo University, Aleppo, Syria.

出版信息

Ann Med Surg (Lond). 2021 Dec;72:103074. doi: 10.1016/j.amsu.2021.103074. Epub 2021 Nov 19.

DOI:10.1016/j.amsu.2021.103074
PMID:34815867
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8603424/
Abstract

The complications of covid-19 may include pneumonia, acute respiratory distress syndrome (ARDS), multi-organ failure, septic shock, and death. Subcutaneous emphysema with as a complication of covid-19 has been documented in a few cases in the medical literature as case reports. A 36-year-old patient with covid-19 complained of symptoms of fever and dyspnea with no history of trauma or smoking. After computed tomography scan and x-ray, it was found that there was Subcutaneous emphysema and spontaneous pneumomediastinum. The medical treatment of corticosteroids and intravenous anticoagulant was immediately performed to improve the patient's condition significantly. The patient was discharged with nearly full recovery. We did the following-up for the patient and the results were good. The combination of these two complication is a reality for Covid-19 patients, so a quick and accurate diagnosis and continuous follow-up should be taken into account to avoid the danger to the patient's life as a result of the formed dyspnea.

摘要

新冠病毒病(COVID-19)的并发症可能包括肺炎、急性呼吸窘迫综合征(ARDS)、多器官衰竭、感染性休克和死亡。作为COVID-19的并发症,皮下气肿在医学文献中有少数病例报告。一名36岁的COVID-19患者主诉发热和呼吸困难症状,无外伤或吸烟史。经计算机断层扫描和X线检查后,发现存在皮下气肿和自发性纵隔气肿。立即进行了皮质类固醇和静脉抗凝治疗,患者病情明显改善。患者出院时几乎完全康复。我们对该患者进行了随访,结果良好。这两种并发症同时出现是COVID-19患者面临的现实情况,因此应考虑进行快速准确的诊断和持续随访,以避免因形成的呼吸困难对患者生命造成危险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b973/8608880/b638a905b55a/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b973/8608880/2401cb3f95da/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b973/8608880/1a80051a76f6/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b973/8608880/b638a905b55a/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b973/8608880/2401cb3f95da/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b973/8608880/1a80051a76f6/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b973/8608880/b638a905b55a/gr3.jpg

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The SCARE 2020 Guideline: Updating Consensus Surgical CAse REport (SCARE) Guidelines.
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