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在经皮切除术后,经外科手术后的COVID-19后的延迟发作的有组织性肺炎
Yasuhiro Nakashima1,2, Shinji Katayanagi3,4, Mariko Hanafusa2,5
1Department of Thoracic Surgery, Tokyo Kyosai Hospital, 2-3-8 Nakameguro, Meguro-ku, Tokyo 153-8934, Japan.
在肺部手术患者中呈现了一种罕见的COVID-19后延迟组织性肺炎病例. 早期识别和干预对于管理这种后急性冠状病毒疾病2019并发症至关重要.
科学领域:
- 肺部病理学 肺部病理学
- 传染性疾病 传染性疾病
- 胸部外科手术 胸部外科手术
背景情况:
- 后急性冠状病毒疾病2019 (COVID-19) 综合征可以表现为肺部并发症.
- 延迟发作的组织性肺炎 (OP) 是一种已知的并发症,但其在肺切除后的外科手术环境中发生的情况未经记录.
- 持续的空气泄漏是肺切除手术后的常见并发症.
研究的目的:
- 在接受肺切除的患者中,报告一种延迟发作的有组织性肺炎病例,作为后急性COVID-19综合征的表现.
- 强调在肺切除后有COVID-19病史的患者中扩大肺部并发症监测的重要性.
- 突出这一罕见的临床场景的诊断挑战和治疗考虑.
主要方法:
- 一名61岁的男性患者接受了左下叶片切除术.
- 该患者在术后出现了COVID-19,后来因呼吸衰竭而重新入院.
- 诊断工作包括胸部计算机断层扫描 (CT) 和对甲基prednisolone和环素A治疗的反应.
主要成果:
- 患者经历了双相临床过程,最初恢复后出现呼吸衰竭.
- 胸部CT显示渐进的整合和地面玻璃不透明.
- 用第二轮甲基prednisolone和cyclosporine A治疗导致显著的放射性改善.
结论:
- 延迟发作的组织性肺炎是次于后急性COVID-19综合征,在肺切除后的外科手术环境中可能发生.
- 扩展监测对于早期发现这些患者肺部并发症至关重要.
- 迅速的识别和干预对于有利的结果至关重要.
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