Armed Forces Institute of Radiology and Imaging (AFIRI), Rawalpindi, Pakistan.
Armed Forces Institute of Pathology (AFIP), Rawalpindi, Pakistan.
J Coll Physicians Surg Pak. 2022 Feb;32(2):230-232. doi: 10.29271/jcpsp.2022.02.230.
Spontaneous pneumomediastinum with COVID pneumonia is a rare occurrence with or without accompanying subcutaneous emphysema or pneumothorax. The aim of this study was to establish relation of this complication to severity of lung disease and its clinical outcome. The study was conducted for a period of seven months from April to October 2020 in the CT Department of Armed Forces Institute of Radiology and Imaging (AFIRI), Rawalpindi, Pakistan. All COVID positive patients having spontaneous pneumomediastinum on high resolution CT (HRCT) chest were included (n=14). These patients were assessed for severity of lung disease as per CT severity score (CTSS), and were followed up for their clinical outcome. All patients with spontaneous pneumomediastinum had moderate to severe degree of COVID pneumonia; mortality in patients with pneumomediastinum was 50%; and was seen in those patients who had greater severity of lung disease as per the CTSS. Key Words: Spontaneous, Pneumomediastinum, COVID, Pneumothorax, Subcutaneous, Emphysema.
伴有或不伴有伴随性皮下气肿或气胸的 COVID 肺炎自发性纵隔气肿是一种罕见的情况。本研究旨在确定这种并发症与肺部疾病严重程度及其临床结果的关系。该研究于 2020 年 4 月至 10 月在巴基斯坦拉瓦尔品第武装部队放射学和影像研究所（AFIRI）的 CT 科进行，共纳入了 14 名 HRCT 胸部检查显示自发性纵隔气肿的 COVID 阳性患者。根据 CT 严重程度评分（CTSS）评估所有患有自发性纵隔气肿的患者的肺部疾病严重程度，并对其临床结果进行随访。所有患有自发性纵隔气肿的患者均患有中至重度 COVID 肺炎；纵隔气肿患者的死亡率为 50%；并且在根据 CTSS 评估肺部疾病严重程度较高的患者中可见。关键词：自发性、纵隔气肿、COVID、气胸、皮下气肿。
