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COVID-19 后支气管胸膜瘘的 CT 扫描引导下经皮氰基丙烯酸酯胶注射成功封堵:病例系列。

Successful Sealing of Post-COVID-19 Bronchopleural Fistula with Computed Tomography Scan-Guided Percutaneous Cyanoacrylate Glue Injection: A Case Series.

机构信息

Department of Radiology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.

Department of Internal Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Iran J Med Sci. 2024 Feb 1;49(2):130-133. doi: 10.30476/IJMS.2023.97068.2872. eCollection 2024 Feb.

DOI:10.30476/IJMS.2023.97068.2872
PMID:38356484
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10862104/
Abstract

Bronchopleural fistula (BPF), a sinus tract between the bronchial system and the pleural space, is associated with COVID-19 and can lead to pneumothorax, which increases the mortality rate. Due to the analytical status of COVID-19 patients, sealing the BPF necessitates the least minimal invasive treatment. Herein, we demonstrated a technique of sealing post-COVID-19 BPF with direct injection of cyanoacrylate glue under the guidance of a computed tomography scan. Following glue injection, the BPF was completely sealed in all four patients. In conclusion, in COVID-19 patients with small and distal BPF, percutaneous glue injection is recommended for BPF closure.

摘要

支气管胸膜瘘(BPF)是支气管系统和胸膜腔之间的窦道,与 COVID-19 相关,并可导致气胸,从而增加死亡率。由于 COVID-19 患者的分析状况,用最小侵入性治疗方法来封闭 BPF 是必要的。在此,我们展示了一种在 CT 扫描引导下直接注射氰基丙烯酸酯胶来封闭 COVID-19 后 BPF 的技术。在胶注射后,所有 4 名患者的 BPF 均完全封闭。总之,对于小而远端的 BPF 的 COVID-19 患者,建议经皮注射胶封闭 BPF。

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本文引用的文献

1
Bronchopleural Fistula as a Complication in a COVID-19 Patient Managed With Endobronchial Valves.COVID-19 患者行支气管内覆膜支架置入术后并发支气管胸膜瘘
J Investig Med High Impact Case Rep. 2021 Jan-Dec;9:23247096211013215. doi: 10.1177/23247096211013215.
2
Antithrombotic prophylaxis in children and adolescents' patients with SARS-CoV-2 (COVID-19) infection: A practical guidance for clinicians.儿童和青少年 SARS-CoV-2(COVID-19)感染患者的抗血栓预防:临床医生实用指南。
Acta Biomed. 2020 Nov 10;91(4):e2020170. doi: 10.23750/abm.v91i4.10720.
3
Iatrogenic Bronchopleural Fistula.
医源性支气管胸膜瘘
Cureus. 2020 Dec 20;12(12):e12187. doi: 10.7759/cureus.12187.
4
Pulmonary pathology of COVID-19: a review of autopsy studies.新型冠状病毒肺炎的肺部病理学:尸检研究综述
Curr Opin Pulm Med. 2021 May 1;27(3):184-192. doi: 10.1097/MCP.0000000000000761.
5
Bronchopleural Fistula in the Mechanically Ventilated Patient: A Concise Review.机械通气患者的支气管胸膜瘘:简要综述。
Crit Care Med. 2021 Feb 1;49(2):292-301. doi: 10.1097/CCM.0000000000004771.
6
Bronchoscopic procedures during COVID-19 pandemic: Experiences in Turkey.COVID-19 大流行期间的支气管镜检查程序:土耳其的经验。
J Surg Oncol. 2020 Nov;122(6):1020-1026. doi: 10.1002/jso.26164. Epub 2020 Aug 11.
7
A Clinical Study of Noninvasive Assessment of Lung Lesions in Patients with Coronavirus Disease-19 (COVID-19) by Bedside Ultrasound.床边超声对新型冠状病毒肺炎(COVID-19)患者肺部病变的临床研究
Ultraschall Med. 2020 Jun;41(3):300-307. doi: 10.1055/a-1154-8795. Epub 2020 Apr 15.
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Tzu Chi Med J. 2018 Apr-Jun;30(2):116-118. doi: 10.4103/tcmj.tcmj_98_17.
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Chest. 2005 Dec;128(6):3955-65. doi: 10.1378/chest.128.6.3955.