FEATURES OF THE COURSE AND TIMING OF DIAGNOSIS OF PLEUROPULMONARY COMPLICATIONS OF CORONAVIRUS INFECTION

  • I. D. Duzhyi Sumy State University, Department of surgery, traumatology, orthopedics, phthisiology
  • S. P. Golubnychyi Sumy State University, Department of surgery, traumatology, orthopedics, phthisiology
  • G. O. Oleshchenko Sumy State University, Department of surgery, traumatology, orthopedics, phthisiology
  • O. М. Yasnikovskyi Sumy State University, Department of surgery, traumatology, orthopedics, phthisiology
Keywords: coronavirus infection; pleuropulmonary complications; time of diagnosis.

Abstract

Coronavirus infection in most cases is of the type of interstitial pneumonia. According to the literature, the most common complications are thrombotic complications of the lungs, myocardium, central nervous system, liver, and kidneys. There are only isolated reports of pleural complications. The aim. To study the features of the course and term of diagnosis of pleuropulmonary complications, specifying the possibilities of their prevention and exclusion of errors. Materials and methods. Under our supervision, there were 23 patients with various complications of pleuropulmonary character. Among these patients, there were 15 males, 8 – females. There were ten patients under the age of 50 and 13 over the age of 50. The interstitial background in all patients was interstitial changes in the lung parenchyma. Results and discussion. Deterioration of patients (increased temperature, shortness of breath, cough, and decreased blood oxygenation) forced doctors to resort to additional examination and consultation with specialists after a certain period of observation (4–5 days). Pulmonary and pleural hemorrhage occurred in 2 (8,72 %) subjects, spontaneous pneumothorax, including and 1 bilateral, occurred in 5 (21,7 %) patients, pneumohydrothorax – in 4 (14,4 %), pneumomediastinum – in 2 (8,7 %), severe pneumothorax – in 7 (30,4 %) people. The most serious complications were the impression of the pleura with a violation of the integrity of the cortical lungs (pneumohydrothorax, intense pneumothorax), which led to death in 6 (26,1 %) people. The period before the diagnosis of complications was in the range of 4–6 days. Conclusions. Physical control of patients with signs of respiratory failure should be performed every 2 hours, ultrasound – three times a day, examination and lateral radiography – with the duration of shortness of breath more than two days or its increase, without waiting for the time suggested by the radiologist.

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References

Duzhij І. D., Oleshchenko G. P., Golubnichij S. O. ta іn. Gemopnevmotoraks і pnevmotoraks yak uskladnennya COVID-19 (vipadki z praktiki) // Tuberkul'oz, legenevі hvorobi, VІL-іnfekcіya. – 2021. – Vip. 45, № 2. – P. 39–42. – doi:10.30978/TV2021-2-39

Komіsarenko S. V. Polyuvannya vchenih na koronavіrus SARS-CoV-2, shcho viklikaє COVID-19: naukovі strategії podolannya pandemії // Vіsn. NAN Ukraїni. – 2020. – № 8. – P. 29–71. – doi:10.15407/visn2020.08.029

Trihlіb V. І. Uskladnennya u hvorih na COVID-19 // Іnfekcіjnі hvorobi. – 2020. – Vip. 99, № 1. – P. 37–46. – doi:10.11603/1681-2727.2020.1.11097

Middle East respiratory syndrome. – https://en.wikipedia.org/wiki/Middle_East_ respiratory_syndrome

Severe acute respiratory syndrome. – https://en.wikipedia.org/wiki/Severe_acute respiratory_syndrome

Published
2021-06-30
How to Cite
Duzhyi, I. D., Golubnychyi, S. P., Oleshchenko, G. O., & YasnikovskyiO. М. (2021). FEATURES OF THE COURSE AND TIMING OF DIAGNOSIS OF PLEUROPULMONARY COMPLICATIONS OF CORONAVIRUS INFECTION. Likarsʹka Sprava, (3-4), 3-6. https://doi.org/10.31640/JVD.3-4.2021(1)
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