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Journal: Journal of the Grodno State Medical University (Vol.20, No. 2)

Publication Date:

Authors : ; ; ; ;

Page : 165-170

Keywords : spontaneous neck emphysema; pneumohydrothorax; complications of COVID-19;

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The article is devoted to the description of our own observations and treatment of complications of a viral infection caused by SARS-CoV-2. It is noted that spontaneous pneumomediastinum and pneumohydrothorax can lead to worsening of the course of the disease. Special attention is focused on spontaneous intermuscular emphysema of the neck and surgical treatment of SARS-CoV-2 complications according to current literature data. It has been established that isolated subcutaneous and intermuscular emphysema of the neck, which occurs as a complication in patients with viral lung disease in COVID-19, does not require surgical intervention. Spontaneous mediastinal emphysema as a complication of COVID-19 requires emergency cervical mediastinotomy in cases of increasing gas syndrome. In patients with COVID-19 complicated by pneumohydrothorax, early diagnosis of this formidable complication and timely transthoracic drainage of the pleural cavity are important. With the formation of a persistent bronchopleural fistula, active treatment in a low-traumatic way using videothoracoscopy is advisable in those cases where it is clinically possible.

Last modified: 2022-05-26 22:24:19