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Pneumothorax and pulmonary air leaks as ventilator-induced injuries in COVID-19

机译:气胸和肺部空气泄漏作为呼吸机引起的Covid-19伤害

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Pneumothorax and other manifestations of pulmonary air leak (pneumomediastinum, subcutaneous emphysema) are well-known complications of coronavirus disease 2019 (COVID-19). The overall incidence of these complications in COVID-19 patients has been estimated to be 1% [1]. However, in mechanically ventilated COVID-19 patients, the incidence of pneumothorax and air leaks rises to 15% [2]. Despite the widespread use of protective ventilation techniques these complications remain a major concern. Severe cases of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pneumonia present with acute alterations such as pulmonary edema and diffuse alveolar damage [3], with a classical acute respiratory distress syndrome pattern. As a result of acute-phase alterations, there may be a negative evolution towards parenchymal consolidations and fibrosis. Due to these processes, COVID-19 patients could present with inhomogeneous pulmonary parenchyma and reduced compliance.
机译:气胸和其他表现的肺部空气泄漏(肺炎,皮下肺气肿)是冠状病毒疾病2019(Covid-19)的着名并发症。 Covid-19患者这些并发症的总体发病率估计为1%[1]。 然而,在机械通风的Covid-19患者中,气胸和空气泄漏的发病率上升至15%[2]。 尽管普遍使用保护通气技术,但这些并发症仍然是一个主要问题。 严重急性呼吸综合征冠状病毒2(SARS-COV-2)肺炎存在患有急性改变,如肺水肿和弥漫性肺泡损伤[3],具有古典急性呼吸窘迫综合征模式。 由于急性相变,可能存在对实质固结和纤维化的负面演变。 由于这些过程,Covid-19患者可能存在不均匀的肺检询和降低的顺应性。

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