PDF(Pubmed)
Abstract：
Pneumothorax is defined as the condition in which air is collected between the visceral and parietal pleura. Pneumothorax as a complication of coronavirus disease 2019 (COVID-19) infection has been reported in relatively few cases and recurrent pneumothorax is even rarer. We present a case of a 50-year-old critically ill patient who required mechanical ventilation for 55 days and developed recurrent bilateral pneumothorax. The patient initially presented with shortness of breath and cough. He was found to be COVID-19 positive on the polymerase chain reaction (PCR) test. Subsequently, his oxygen demand increased, and he ultimately needed mechanical ventilation. He developed four episodes of pneumothorax. The patient was managed in all four episodes with intercostal tube insertion. To prevent subsequent episodes, pleurodesis was performed after the fourth episode of pneumothorax.
摘要：
气胸定义为在内脏和顶叶胸膜之间收集空气的情况。据报道，气胸是2019年冠状病毒病（COVID-19）感染的并发症，病例相对较少，复发性气胸甚至更罕见。我们介绍了一名50岁的重症患者，该患者需要机械通气55天，并发展为复发性双侧气胸。患者最初出现呼吸急促和咳嗽。聚合酶链反应(PCR)检测发现他是COVID-19阳性。随后，他的需氧量增加了，他最终需要机械通气.他出现了四次气胸。在所有四次发作中均通过肋间导管插入对患者进行了治疗。为了防止后续发作，在第四次气胸发作后进行胸膜固定术。
