PDF(Pubmed)
Abstract：
An elderly man with COPD and heart failure was admitted to the Family Medicine Inpatient Service from the Emergency Department (ED) after experiencing acute onset of shortness of breath at home. He had recently been briefly hospitalized with COVID pneumonia. Upon arrival in the ED, he was requiring continuous positive airway pressure to maintain oxygen saturations. Overall, physical exam was notable for mild respiratory distress. Lab evaluation was unremarkable, but chest x-ray showed a right sided pneumothorax. Spontaneous pneumothoraces have been described in post-COVID cases, with COPD and mechanical ventilation thought to be risk factors. Treatment consists of supportive cares, needle decompression and thoracostomy if necessary. Providers should be aware of this rare albeit serious complication and monitor higher risk patients appropriately.
摘要：
一名患有COPD和心力衰竭的老年男子在家中经历急性呼吸急促发作后，从急诊科（ED）接受了家庭医学住院服务。他最近因COVID肺炎短暂住院。到达ED后，他需要持续气道正压通气来维持氧饱和度.总的来说,体检明显为轻度呼吸窘迫.实验室评估并不显著，但胸部X光显示右侧气胸。在COVID后病例中已经描述了自发性气胸，COPD和机械通气被认为是危险因素。治疗包括支持性护理，如有必要，针减压和胸廓造口术。提供者应该意识到这种罕见但严重的并发症，并适当监测高风险患者。
