Analysis and treatment of pneumothorax after mechanical ventilation in critical patients with COVID-19
10.3760/cma.j.cn112434-20200226-00075
- VernacularTitle:COVID-19危重症患者机械通气后并发气胸的特征分析及治疗
- Author:
Wenbin ZOU
1
;
Bin SONG
;
Xiangning FU
;
Xiaowei WU
Author Information
1. 华中科技大学同济医学院附属同济医院胸外科，武汉 430030
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2020;36(7):389-392
- CountryChina
- Language:Chinese
-
Abstract:
Objective:The clinical characteristics of critical COVID-19 patients with pneumothorax after mechanical ventilation were retrospectively analyzed to provide reference for epidemic prevention and treatment.Methods:A retrospective analysis was made on 130 cases of COVID-19 critically patients admitted from January 1, 2020 to February 13, 2020 in Jinyintan Hospital of Wuhan.The clinical characteristics, mechanical ventilation related pneumothorax and treatment were analyzed.Results:Among the 130 patients with COVID-19 in critical condition, 7 (5.38%)cases had mechanical ventilation related pneumothorax (including bilateral and unilateral pneumothorax). All the 7 pneumothorax patients received bedside closed drainage, oxygen saturation and oxygen partial pressure were significantly improved after closed thoracic drainage.No statistical differences were found in other indexes (pH, lactic acid, PCO 2, oxygenation index). Conclusion:For large critical COVID-19 care centers, the involvement of thoracic surgeons are recommended to deal with the thoracic complications associated with mechanical ventilation. After the occurrence of pneumothorax, if there are no other obvious contrainstances, thoracic closed drainage should be given in time.
