Pneumomediastinum as a predictor of negative prognosis in patients with coronavirus pneumonia
Sibirskij Nauchnyj Medicinskij Zhurnal
; 43(2):103-108, 2023.
Article
in Russian
| Scopus | ID: covidwho-2324285
ABSTRACT
Aim of the study was to analyze the course of coronavirus pneumonia in patients with pneumomediastinum. Material and methods. The study included 139 patients, 71 of whom developed spontaneous pneumomediastinum against the background of coronavirus pneumonia. Laboratory, clinical and radiological data were analyzed and compared. Results. The relationship between the severity of viral pneumonia (3rd–4th degree of severity according to MSCT) and pneumomediastinum was revealed. It was found that spontaneous mediastinal emphysema in patients with COVID-19 significantly more often leads to the development of acute respiratory distress syndrome, multiple organ failure and can be a predictor of negative prognosis of the disease outcome. Conclusions. Pneumomediastinum in patients with viral pneumonia caused by a new coronavirus infection is a predictor of severe disease and poor prognosis. With an increase in spontaneous mediastinal emphysema without pneumothorax, it is recommended to perform mediastinotomy according to Razumovsky's indications, and in case of clinically significant concomitant pneumothorax – drainage and revision of the mediastinum. © 2023, Institute of Cytology and Genetics of Siberian Branch of the Russian Academy of Sciences. All rights reserved.
Full text:
Available
Collection:
Databases of international organizations
Database:
Scopus
Type of study:
Prognostic study
Language:
Russian
Journal:
Sibirskij Nauchnyj Medicinskij Zhurnal
Year:
2023
Document Type:
Article
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