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在肩部关节镜检查后,同时出现肺胸和肺栓塞,同时患有COVID-19:一个病例报告
Kazuhiro Ikeda1,2, Shotaro Teruya1, Hiromitsu Tsuge1
1Institute of Medicine, Department of Orthopedic Surgery, University of Tsukuba, Tsukuba, JPN.
Cureus
|November 24, 2025
概括
这份病例报告强调了在COVID-19患者的肩膀关节镜检查后罕见的同时发生的肺胸炎和肺栓塞. 早期的高级成像对于诊断并发症至关重要,指导复杂的患者管理.
科学领域:
- 整形外科手术 整形外科手术
- 胸部外科手术 胸部外科手术
- 传染性疾病 传染性疾病
背景情况:
- 肩部关节镜检查通常是安全的,但具有罕见的风险,如肺胸炎和肺栓塞.
- 这些并发症的共存带来了重大的诊断挑战.
- 同时感染,如COVID-19,可以进一步复杂患者的呈现和管理.
研究的目的:
- 在肩膀关节镜检查后报告一种罕见的同时出现肺胸部和肺栓塞的病例.
- 为了强调共存并发症所带来的诊断挑战.
- 在复杂的骨科病例中讨论管理策略和预防措施.
主要方法:
- 一个72岁的女性患者的病例报告,她正在接受关节透视班卡特和旋转手套修复.
- 术后并发症的记录,包括肺胸病和肺栓塞.
- 同时的COVID-19感染的诊断和管理.
主要成果:
- 患者在术后第二天出现了肺胸炎,并接受了胸部排水治疗.
- 持续的低氧化导致在术后第三天通过对比增强CT诊断双边肺栓塞.
- 在术后第6天诊断出COVID-19感染.
- 患者的病情通过抗凝药稳定,并在术后27日出院.
结论:
- 避免诊断定;在初始治疗后持续的低氧化症需要进一步的研究 (例如,对比度增强的CT) 来排除同时存在的肺栓塞.
- 患有多种高风险并发症的患者的管理需要仔细考虑双向治疗相互作用.
- 尽量减少操作时间对于预防至关重要. 在一些具有显著的状腺和袖口缺陷的老年患者中,初级逆肩关节整形可能是复杂的关节镜重建的可行替代方案.
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