High incidence and mortality of pneumothorax in critically Ill patients with COVID-19

被引：55

作者：

Wang, Xiao-hui ^{[1
]}

Duan, Jun ^{[1
]}

Han, Xiaoli ^{[1
]}

Liu, Xinzhu ^{[1
]}

Zhou, Junhao ^{[3
]}

Wang, Xue ^{[1
]}

Zhu, Linxiao ^{[1
]}

Mou, Huaming ^{[2
]}

Guo, Shuliang ^{[1
]}

机构：

[1] Chongqing Med Univ, Affiliated Hosp 1, Dept Resp & Crit Care Med, 1 Youyi Rd, Chongqing 400016, Peoples R China

[2] Chongqing Three Gorges Cent Hosp, Dept Cardiol, 165 Xincheng Rd, Chongqing 404000, Peoples R China

[3] Chongqing Three Gorges Cent Hosp, Dept Resp & Crit Care Med, Chongqing, Peoples R China

来源：

HEART & LUNG | 2021年 / 50卷 / 01期

关键词：

COVID-19; Pneumothorax; Epidemiology; Mortality; Mechanism; Prevention; Coronavirus disease 2019(COVID-19); RESPIRATORY-DISTRESS-SYNDROME; ACUTE LUNG INJURY;

D O I：

10.1016/j.hrtlng.2020.10.002

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background: The clinical characteristics of the patients with COVID-19 complicated by pneumothorax have not been clarified. Objectives: To determine the epidemiology and risks of pneumothorax in the critically ill patients with COVID-19. Methods: Retrospectively collecting and analysing medical records, laboratory findings, chest X-ray and CT images of 5 patients complicated by pneumothorax. Results: The incidence of pneumothorax was 10% (5/49) in patients with ARDS, 24% (5/21) in patients receiving mechanical ventilation, and 56% (5/9) in patients requiring invasive mechanical ventilation, with 80% (4/ 5) patients died. All the 5 patients were male and aged ranging from 54 to 79 years old. Pneumothorax was most likely to occur 2 weeks after the beginning of dyspnea and associated with reduction of neuromuscular blockers, recruitment maneuver, severe cough, changes of lung structure and function. Conclusions: Pneumothorax is a frequent and fatal complication of critically ill patients with COVID-19. (C) 2020 Published by Elsevier Inc.

引用

页码：37 / 43

页数：7

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