COVID-19 with cystic features on computed tomography A case report
COVID-19 with cystic features on computed tomography A case report
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DOI：
10.1097/md.0000000000020175
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发表时间：
2020-05-01
期刊：
影响因子：
1.6
通讯作者：
Qian, Jinxian
中科院分区：
文献类型：
--
作者：
Liu, Kefu;Zeng, Yuanying;Qian, Jinxian
理论基础：在计算机断层扫描(CT)上发现的新型冠状病毒病2019(新冠肺炎)的囊性特征尚未在已发表的文献中报道。我们报告2例确诊为新冠肺炎相关肺炎的患者的胸部囊性CT表现。患者关注：一名38岁的男子和一名35岁的男子被诊断患有严重新冠肺炎肺炎，被送入重症监护病房。诊断：胸部CT表现为双侧(双侧)磨玻璃样混浊的多个囊肿伴/不伴气胸。包囊内壁光滑。干预：患者继续面罩吸氧，并接受镇咳、祛痰治疗。结果：在随访时，CT上多发性囊性病变的数量减少。到目前为止，1名患者已出院，另一名患者已转往康复部门。教训：新冠肺炎可能单独导致肺囊肿形成和气胸；呼吸机的应用可能是另一个原因。
Rationale: The cystic features of the novel coronavirus disease 2019 (COVID-19) found on computed tomography (CT) have not yet been reported in the published literature. We report the cystic chest CT findings of 2 patients confirmed to have COVID-19-related pneumonia. Patient concerns: A 38-year-old man and a 35-year-old man diagnosed with severe COVID-19 pneumonia were admitted to the intensive care unit. Diagnoses: Chest CT findings showed multiple cysts in ground-glass opacities (bilaterally) with/without pneumothorax. The cysts had a smooth inner wall. Interventions: The patients continued to be given oxygen by mask and received antitussive, phlegm-dispelling treatment. Outcomes: At follow up, there was a reduction in the number of multiple cystic lesions on CT. To date, 1 patient was discharged from hospital, while the other had been transferred to the rehabilitation department. Lessons: COVID-19 may independently result in pulmonary cyst formation and pneumothorax; the application of a ventilator may be another causative factor.