[COVID-19 相关肺炎中的腔隙性肺部病变:对 40 例病例的单中心研究]。

Q4 Medicine Khirurgiya Pub Date : 2024-01-01 DOI:10.17116/hirurgia202406128
Z G Berikhanov, S N Avdeev, G V Neklyudova, Z M Merzhoeva, S A Ponomar, M S Goltseva
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引用次数: 0

摘要

摘要材料与方法:对 8261 例 COVID-19 患者的电子病历进行回顾性分析:对 8261 例 COVID-19 患者的电子病历进行回顾性分析。我们选择了 40 名符合纳入标准的患者。对患者的性别、年龄、住院时间、肺组织病变、合并症、治疗、呼吸支持方法、并发症和预后进行了评估:结果:空洞型肺部病变在男性中更为常见(67.5%)。患者年龄从 28 岁到 88 岁(平均 64.9±13.7)岁不等。腔隙性肺部病变患者的住院时间为 9-58 天(中位数为 27.5 天)。14名患者(35%)出现了18种并发症。气胸、孤立性气胸、胸腔积液、咯血和乙状结肠穿孔被视为肺空洞病变的并发症。9名(22.5%)患者死亡(其中5人有并发症)。3 名患者在手术治疗后死亡。对 8 例(25.8%)患者的长期结果进行了分析。患者出院后接受了 3 个月的随访。病变在 7-60 天(平均 23 天)后缩小,空洞在 32 天(14-90 天)后完全消失:结论:肺空洞病变是 COVID-19 肺炎的罕见并发症。并发症与年龄、性别、治疗、肺部病变体积和无创通气(NIV)无明显相关性。尽管接受无创通气治疗的老年患者更容易出现致命的并发症,但最后一种并发症完全是由于疾病进展和呼吸衰竭所致。有必要对这一问题进行进一步研究,以确定肺空洞病变的可能风险因素。
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[Cavitary lung lesions in COVID-19 associated pneumonia: a single-center study of 40 cases].

Objective: To demonstrate clinical features and outcomes in patients with cavitary lung lesions and COVID-19 associated pneumonia.

Material and methods: A retrospective analysis of electronic medical records of 8261 patients with COVID-19 was performed. We selected 40 patients meeting the inclusion criteria. Sex, age, hospital-stay, lung tissue lesion, comorbidities, treatment, methods of respiratory support, complications and outcomes were evaluated.

Results: Cavitary lung lesions were more common in men (67.5%). Age of patients ranged from 28 to 88 (mean 64.9±13.7) years. Hospital-stay in patients with cavitary lung lesions was 9-58 (median 27.5) days. There were 18 complications in 14 (35%) patients. Pneumothorax, isolated pneumomediastinum, pleural empyema, hemoptysis and sigmoid colon perforation were considered as complications of cavitary lung lesions. Nine (22.5%) patients died (5 of them with complications). Three patients died after surgical treatment. Long-term results were analyzed in 8 (25.8%) patients. Patients were followed-up for 3 months after discharge. Shrinkage of lesions occurred after 7-60 (mean 23) days, and complete obliteration of cavities came after 32 (range 14-90) days.

Conclusion: Cavitary lung lesions are a rare complication of COVID-19 pneumonia. There was no significant correlation of complications with age, sex, therapy, volume of lung lesions and non-invasive ventilation (NIV). Despite more common fatal outcomes in older patients undergoing NIV, the last one was prescribed exclusively due to disease progression and respiratory failure. Further research on this problem is necessary to identify possible risk factors of cavitary lung lesions.

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来源期刊
Khirurgiya
Khirurgiya Medicine-Medicine (all)
CiteScore
0.70
自引率
0.00%
发文量
161
期刊介绍: Хирургия отдельных областей сердце, сосуды легкие пищевод молочная железа желудок и двенадцатиперстная кишка кишечник желчевыводящие пути печень
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