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作为新型冠状病毒肺炎(COVID-19)疾病的并发症,出现自发性张力性纵隔气肿并伴有气胸和皮下气肿。

Spontaneous tension pneumomediastinum with pneumothorax and subcutaneous emphysema as a complication of COVID-19 disease.

作者信息

Aghajanzadeh Manouchehr, Alavi Foumani Ali, Tangestaninejad Azita, Haghighi Mohammad, Pourahmadi Yousha, Jafroudi Ehsan Hajipour, Mousazadeh Mahsa, Asli Rastin Hosseinzadeh

机构信息

Department of Thoracic Surgery Guilan University of Medical Sciences Rasht Iran.

Department of Pulmonology Guilan University of Medical Sciences Rasht Iran.

出版信息

Clin Case Rep. 2023 Jul 10;11(7):e7570. doi: 10.1002/ccr3.7570. eCollection 2023 Jul.

Abstract

Recently spontaneous tension pneumomediastinum (STM), were reported as infrequent complications in coronavirus disease 2019 (COVID-19) patients but pneumothorax (PT), and subcutaneous emphysema (SE) are more frequently seen in COVID-19 patients. PT and SE may present after PTM in COVID-19. The aim of this presentation is to show the complications of STM in an Iranian patients with COVID-19 disease with PT and SE, who were hospitalized in Arya hospital, Rasht, Iran. For 3 months, we followed these patients and their condition was good. STM are uncommon complications in COVID-19 patients and were reported frequently in male patients. Early diagnosis and treatment could save the patients as these complications are related to poor prognosis and prolonged hospitalization. Patients with mild COVID-19 and mild pulmonary damage may have a favorable outcome.

摘要

最近,自发性纵隔气肿(STM)被报道为2019冠状病毒病(COVID-19)患者中罕见的并发症,但气胸(PT)和皮下气肿(SE)在COVID-19患者中更为常见。PT和SE可能在COVID-19患者发生纵隔气肿后出现。本报告的目的是展示一名患有COVID-19疾病且伴有PT和SE的伊朗患者发生STM的并发症情况,该患者在伊朗拉什特的阿亚医院住院。在3个月的时间里,我们对这些患者进行了随访,他们的情况良好。STM是COVID-19患者中罕见的并发症,且在男性患者中报道较多。早期诊断和治疗可以挽救患者,因为这些并发症与预后不良和住院时间延长有关。患有轻度COVID-19和轻度肺损伤的患者可能会有良好的预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f005/10332258/86675a722993/CCR3-11-e7570-g001.jpg

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