2019冠状病毒病非机械通气患者的自发性气胸：一项单中心回顾性病例系列研究
Spontaneous pneumothorax with coronavirus disease 2019 in non-ventilated patients: A single-center retrospective case series.
作者信息
Kawachi Jun, Koyama Hiroshi, Aida Yoshihisa, Kamio Tadashi, Yamagami Hiroshi, Nishiguchi Sho
机构信息
Department of Surgery, Shonan Kamakura General Hospital, Japan.
Department of Critical Care, Shonan Kamakura General Hospital, Japan.
出版信息
Ann Med Surg (Lond). 2021 Dec;72:103134. doi: 10.1016/j.amsu.2021.103134. Epub 2021 Dec 3.
BACKGROUND
Pneumothorax is a rare complication of coronavirus disease 2019, and many of its associated factors are related to mechanical ventilation. We investigated the incidence and clinical features of patients with pneumothorax and coronavirus disease 2019 at a field hospital for patients who did not require intubation.
MATERIALS AND METHODS
An isolated field hospital for COVID-19 patients who did not require ventilation was constructed. Patients who developed pneumothorax were extracted and reviewed retrospectively.
RESULTS
Between May 2020 and February 2021, 1061 patients were admitted to this field hospital. Among them, eight patients (0.75%, three men and four women) developed pneumothorax. The mean age at incidence was 79.9 (range: 20-96) years; all patients were over the age of 80 years, except one 20-year-old woman. Six of these eight patients (75%) died.
CONCLUSION
Although pneumothorax is a rare complication of coronavirus disease-2019, it is predictive of a poor prognosis in older-adult patients.
背景
气胸是2019冠状病毒病的一种罕见并发症，其许多相关因素与机械通气有关。我们在一家野战医院对无需插管的2019冠状病毒病患者气胸的发生率和临床特征进行了调查。
材料与方法
建立了一家收治无需通气的新冠肺炎患者的独立野战医院。对发生气胸的患者进行提取并回顾性分析。
结果
2020年5月至2021年2月期间，该野战医院共收治1061例患者。其中，8例（0.75%）发生气胸，男性3例，女性4例。发病时的平均年龄为79.9岁（范围：20 - 96岁）；除一名20岁女性外，所有患者年龄均超过80岁。这8例患者中有6例（75%）死亡。
结论
虽然气胸是2019冠状病毒病的罕见并发症，但它预示着老年患者预后不良。
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