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一名40岁男性因新冠病毒感染继发喉痉挛的复杂病例

A Complex Case of Laryngospasm Secondary to COVID-19 Infection in a 40-Year-Old Male.

作者信息

Eter Asia M, Yamamoto Tomohiro, Yamamoto Satoshi

机构信息

Anesthesiology, University of Texas Medical Branch at Galveston, Galveston, USA.

College of Medicine, University of Gunma, Maebashi, JPN.

出版信息

Cureus. 2024 Sep 6;16(9):e68828. doi: 10.7759/cureus.68828. eCollection 2024 Sep.

Abstract

COVID-19 is a novel viral infection with a wide variety of clinical manifestations ranging from asymptomatic cases to severe respiratory illness. Laryngospasm is a spontaneous sustained closure of the laryngeal muscles leading to acute airway obstruction. We report a case of a 40-year-old male with a history of nephrolithiasis who underwent laparoscopic pyeloplasty and developed laryngospasm as a consequence of contracting COVID-19. The case was further complicated by the development of pneumothorax and pleural effusion during the postoperative period. The patient was managed with supplemental oxygen, antibiotics, antiviral therapy, and close monitoring. He recovered without any additional complications. This case highlights the potential initial clinical manifestation and the importance of early diagnosis and treatment of COVID-19 infection in surgical patients.

摘要

新冠病毒病(COVID-19)是一种新型病毒感染,临床表现多种多样,从无症状病例到严重呼吸道疾病不等。喉痉挛是喉肌的自发性持续收缩,导致急性气道梗阻。我们报告一例40岁男性病例,该患者有肾结石病史,接受了腹腔镜肾盂成形术,因感染新冠病毒病而发生喉痉挛。该病例在术后又并发气胸和胸腔积液。患者接受了吸氧、抗生素、抗病毒治疗及密切监测。他康复且未出现任何其他并发症。该病例凸显了新冠病毒病感染在外科患者中的潜在初始临床表现以及早期诊断和治疗的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43f7/11456358/6b7c974557bb/cureus-0016-00000068828-i01.jpg

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