同时出现的COVID-19和自发性肺胸炎的预后效应
Mustafa Akyil1, Serkan Bayram1, Pelin Erdizci1
1Department of Thoracic Surgery, University of Health Sciences, Süreyyapaşa Training and Research Hospital, Istanbul, Türkiye.
这项研究发现,2019年新冠肺炎病 (COVID-19) 可以延长自发性肺胸的患者的恢复时间. 与没有感染的患者相比,COVID-19阳性患者的空气泄漏持续时间和住院时间更长.
科学领域:
- 肺部病理学 肺部病理学
- 传染性疾病 传染性疾病
- 关键护理医学 关键护理医学
背景情况:
- 初级自发性肺胸炎是一种影响个人而没有潜在肺部疾病的疾病.
- 2019年冠状病毒疾病 (COVID-19) 的出现促使人们对其对各种疾病的影响进行调查.
- 了解COVID-19和自发性肺胸之间的相互作用对于患者管理至关重要.
研究的目的:
- 为了确定COVID-19在患有原发性自发性肺胸的住院患者中的患病率.
- 评估COVID-19对自发性肺胸的临床过程,治疗和预后的影响.
主要方法:
- 在2020年4月至2021年1月期间,86名被诊断患有第一个自发性肺胸部发作的患者的回顾性分析.
- 在肺胸部诊断时使用聚合酶链反应 (PCR) 测试进行COVID-19查.
- 在COVID-19阳性和阴性组之间比较空气泄漏时间,肺部扩张时间,住院,复发和死亡率.
主要成果:
- 在自发性肺胸病患者中,21% (18/86) 被诊断为COVID-19.
- 阳性COVID-19患者的平均空气泄漏时间 (p<0.0001) 和肺扩张时间 (p<0.0001) 显著增加.
- 在COVID-19阳性患者 (p<0.0001) 中观察到显著更长的平均住院时间;在六个月内,复发率和死亡率在组之间相似.
结论:
- COVID-19 感染与自发性肺胸病患者的康复时间产生负面影响有关.
- 这些发现突显了考虑COVID-19状态在自发性肺胸管理中的重要性.
- 进一步的研究可能会探索具体的干预措施,以减轻同时感染COVID-19的不良影响.
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