在COVID-19患者的二次肺中介:一个用VV-ECMO管理的病例
Gianlorenzo Golino1,2, Edoardo Forin1,2, Elisa Boni1,2
1Ospedale San Bortolo, Vicenza, Italy.
IDCases
|April 29, 2024
概括
二次性肺中 (SP) 是COVID-19患者的一种罕见并发症. 这一案例突出了其作为严重病情的SARS-CoV-2患者不良结果的预测器的潜力,强调了广泛的气泡膜损伤.
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
- 传染性疾病 传染性疾病
背景情况:
- 空气泄漏综合征,包括肺中 (PM),通常是由创伤,手术或机械通风引起的.
- 二次性肺中 (SP) 是一种罕见的并发症,在2019年冠状病毒病 (COVID-19) 患者中发生率显著低.
研究的目的:
- 报告一个罕见的二次性肺中病例在一个危急的COVID-19患者.
- 讨论SP作为SARS-CoV-2感染中不良结果的预测因素的潜在影响.
主要方法:
- 一个44岁的男性患有COVID-19,肥胖和心脏病的病例报告.
- 启动机械通风,静脉静脉外体膜氧化 (VV-ECMO),中腔和多腔排水,保护性通风策略和疗法.
- 连续的胸部计算机断层扫描 (CT) 扫描,以监测疾病的进展和对治疗的反应.
主要成果:
- 这名患者出现了发烧,咳,呼吸困难和呼吸困扰,确诊COVID-19阳性.
- 在机械通风后,胸部CT显示了广泛的二级肺中和肺上.
- 用VV-ECMO治疗,排水,保护性通风和发射导致肺功能恢复和患者出院.
结论:
- 在重症COVID-19患者中,二次性肺中可能表明有广泛的气泡膜损伤.
- 应将SP视为严重急性呼吸系统综合征冠状病毒2 (SARS-CoV-2) 患者不良后果的潜在预测因素.
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