COVID-19:一种可能导致自发性肺上瘤的原因
Patrícia Varela Ramos1, Ana Maria Oliveira1, Ângela Simas1
1Intensive Care Unit, Hospital de Vila Franca de Xira, Vila Franca de Xira, Portugal.
概括
肺上腺炎是COVID-19肺炎的一种罕见并发症,通常与机械通风有关. 及时识别和治疗至关重要,特别是当腹腔综合征发展时.
科学领域:
- 肺部病理学 肺部病理学
- 关键护理医学 关键护理医学
- 胃肠病学 胃肠病学
背景情况:
- 肺上皮质,腹腔空气,通常是器官破裂的结果,但可以自发发生.
- 肺上皮膜的肺部起源很少见,通常与机械通风和膜泄漏有关.
- 冠状病毒疾病2019 (COVID-19) 患者报告了各种空气泄漏并发症,包括肺炎.
研究的目的:
- 在COVID-19患者中报告肺上瘤病例.
- 突出重症COVID-19中肺上皮膜的潜在肺来源和并发症.
- 讨论肺和相关的腹腔综合征的管理.
主要方法:
- 一名70岁的男性患有COVID-19肺炎的病例报告.
- 由于严重的呼吸衰竭,患者需要侵入性机械通风 (IMV).
- 在IMV启动后诊断肺,肺中和皮下肺.
主要成果:
- 在IMV感染5天后,该患者出现了巨大的自发性皮下肺,肺中和肺.
- 最初的保守管理不足,导致腹腔综合征.
- 腹腔综合征需要穿皮针去压.
结论:
- 肺上腺炎是COVID-19肺炎的一个罕见但严重的并发症.
- 管理包括解决病毒性肺损伤和次要原因.
- 虽然保守的治疗往往是足够的,但对腹腔综合征的及时识别和干预可以挽救生命.
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