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Post COVID-19 large pneumatocele: clinical and pathological perspectives.新冠病毒感染后巨大肺气囊:临床与病理视角
Interact Cardiovasc Thorac Surg. 2021 Jul 26;33(2):322-324. doi: 10.1093/icvts/ivab072.
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Interpretation of CT signs of 2019 novel coronavirus (COVID-19) pneumonia.2019新型冠状病毒(COVID-19)肺炎的CT征象解读
Eur Radiol. 2020 Oct;30(10):5455-5462. doi: 10.1007/s00330-020-06915-5. Epub 2020 May 4.
3
Mediastinal Emphysema, Giant Bulla, and Pneumothorax Developed during the Course of COVID-19 Pneumonia.在 COVID-19 肺炎的病程中发生了纵隔气肿、巨大肺大疱和气胸。
Korean J Radiol. 2020 May;21(5):541-544. doi: 10.3348/kjr.2020.0180. Epub 2020 Mar 20.
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[Novel coronavirus pneumonia (COVID-19) CT distribution and sign features].[新型冠状病毒肺炎(COVID-19)的CT分布及征象特点]
Zhonghua Jie He He Hu Xi Za Zhi. 2020 Apr 12;43(4):321-326. doi: 10.3760/cma.j.cn112147-20200217-00106.
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Radiological findings from 81 patients with COVID-19 pneumonia in Wuhan, China: a descriptive study.中国武汉 81 例新冠肺炎患者的放射学特征:一项描述性研究。
Lancet Infect Dis. 2020 Apr;20(4):425-434. doi: 10.1016/S1473-3099(20)30086-4. Epub 2020 Feb 24.
6
Pneumonectomy in a Child with Multilobar Pneumatocele Secondary to Necrotizing Pneumonia: Case Report and Review of the Literature.一名患有坏死性肺炎继发多叶肺气囊的儿童行肺切除术:病例报告及文献综述
Case Rep Pediatr. 2019 Jul 17;2019:2464390. doi: 10.1155/2019/2464390. eCollection 2019.
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Large traumatic pneumatocele treated using video-assisted thoracoscopic surgery.采用电视辅助胸腔镜手术治疗大型创伤性肺大疱。
J Trauma Acute Care Surg. 2019 Jun;86(6):1039-1040. doi: 10.1097/TA.0000000000002215.
8
Clinical features, diagnosis, and treatment of traumatic pulmonary pseudocysts.创伤性肺假性囊肿的临床特征、诊断与治疗
Ulus Travma Acil Cerrahi Derg. 2018 Jan;24(1):49-55. doi: 10.5505/tjtes.2017.56023.
9
A rare case of tension pneumatocele.一例罕见的张力性肺气囊病例。
Indian J Tuberc. 2017 Oct;64(4):327-329. doi: 10.1016/j.ijtb.2016.09.020. Epub 2016 Dec 28.
10
Pulmonary Pneumatocele in a Pneumonia Patient Infected with Extended-Spectrum β-Lactamase Producing Proteus mirabilis.一名感染产超广谱β-内酰胺酶奇异变形杆菌的肺炎患者出现的肺气囊
Tuberc Respir Dis (Seoul). 2015 Oct;78(4):371-4. doi: 10.4046/trd.2015.78.4.371. Epub 2015 Oct 1.

新型冠状病毒肺炎后肺大疱形成。手术干预是否起作用?

Pneumatocele formation following COVID-19 pneumonia. Is there a role for surgical intervention?

作者信息

McCann Cameron, Shoeib Mohamed, Rashid Muhammad Iftikhar, Kostoulas Nikos

机构信息

59699Greater Glasgow and Clyde, 41444Golden Jubilee National Hospital, UK.

59895University Hospital Wishaw, UK.

出版信息

Asian Cardiovasc Thorac Ann. 2021 Dec 7;30(4):2184923211059866. doi: 10.1177/02184923211059866.

DOI:10.1177/02184923211059866
PMID:34874785
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9174975/
Abstract

COVID-19 mainly causes a lower respiratory tract illness, meaning there has been great interest in the chest and lung radiological findings seen during the course of the disease. Most of this interest has centred around the computed tomographic findings. Most commonly, computed tomographic images report ground-glass opacities but a less common finding, and potential complication associated with COVID-19, is pneumatocele formation. In this case series, we describe the presentation and management of three patients with large pneumatoceles that developed during the recovery phase of COVID-19. A conservative approach is most recommended, with surgical intervention reserved for complicated cases that cause cardiorespiratory compromise.

摘要

新型冠状病毒肺炎(COVID-19)主要引发下呼吸道疾病,这意味着人们对该疾病病程中胸部和肺部的放射学表现极为关注。这种关注大多集中在计算机断层扫描(CT)结果上。最常见的是,CT图像显示磨玻璃影,但气囊肿形成是一种较少见的表现,也是与COVID-19相关的潜在并发症。在本病例系列中,我们描述了3例在COVID-19康复期出现大气囊肿的患者的临床表现及治疗情况。最推荐采用保守治疗方法,手术干预仅适用于导致心肺功能不全的复杂病例。