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一名新冠肺炎患者出现支气管胸膜瘘和双侧气胸。

Bronchopleural fistula and bilateral pneumothorax in a patient with COVID-19.

作者信息

Shah Sangam, Mandal Prince, Chamlagain Rajan, Yadav Rukesh, Pande Yubraj, Sah Sanjit Kumar, Sharma Paudel Basanta, Gyawali Madan

机构信息

Maharajgunj Medical Campus Institute of Medicine Tribhuvan University Maharajgunj Nepal.

Tribhuvan University Teaching Hospital Maharajgunj Nepal.

出版信息

Clin Case Rep. 2021 Nov 25;9(11):e05149. doi: 10.1002/ccr3.5149. eCollection 2021 Nov.

DOI:10.1002/ccr3.5149
PMID:34853692
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8614088/
Abstract

COVID-19 pneumonia causes several complications that include pneumothorax, hydropneumothorax, empyema, and rarely leads to bronchopleural fistula (BPF). BPF is a communication between the pleural space and the bronchial tree. We report a case of 24 years man with pneumothorax, hydropneumothorax, and BPF that appeared after COVID-19 infection.

摘要

新型冠状病毒肺炎会引发多种并发症，包括气胸、液气胸、脓胸，且极少导致支气管胸膜瘘（BPF）。支气管胸膜瘘是胸膜腔与支气管树之间的连通。我们报告一例24岁男性病例，其在感染新型冠状病毒后出现气胸、液气胸及支气管胸膜瘘。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b16/8614088/1dd9b4142b2b/CCR3-9-e05149-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b16/8614088/1dd9b4142b2b/CCR3-9-e05149-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b16/8614088/1dd9b4142b2b/CCR3-9-e05149-g001.jpg

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本文引用的文献

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Postmortem examination of COVID-19 patients reveals diffuse alveolar damage with severe capillary congestion and variegated findings in lungs and other organs suggesting vascular dysfunction.对新冠病毒疾病（COVID-19）患者的尸检显示，肺部出现弥漫性肺泡损伤，伴有严重的毛细血管充血，肺部及其他器官呈现出多样化的表现，提示存在血管功能障碍。
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Coronavirus Disease 2019 (COVID-19): A Systematic Review of Imaging Findings in 919 Patients.新型冠状病毒病 2019（COVID-19）：919 例患者影像学表现的系统评价。
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Management of acquired bronchopleural fistula due to chemical pneumonia.
化学性肺炎所致获得性支气管胸膜瘘的管理
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Efficacy and long-term clinical outcome of bronchial occlusion with endobronchial Watanabe spigots for persistent air leaks.使用支气管内渡边栓子进行支气管封堵治疗持续性气胸的疗效及长期临床结局
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Three-step management of pneumothorax: time for a re-think on initial management.气胸的三步管理：重新思考初始管理的时候了。
Interact Cardiovasc Thorac Surg. 2013 Feb;16(2):186-92. doi: 10.1093/icvts/ivs445. Epub 2012 Nov 1.
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Bronchopleural fistulas: an overview of the problem with special focus on endoscopic management.支气管胸膜瘘：问题概述，特别关注内镜治疗
Chest. 2005 Dec;128(6):3955-65. doi: 10.1378/chest.128.6.3955.