Pneumomediastinum as a predictor of negative prognosis in patients with coronavirus pneumonia
Yu. S. Kuznetsov,
V. M. Durleshter,
V. A. Pshukov,
V. V. Markin,
А. А. Kryachko,
S. V. Shchyplyak,
D. S. Murashko,
V. A. Rudko https://doi.org/10.18699/SSMJ20230211
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 signifcantly 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 signifcant concomitant pneumothorax – drainage and revision of the mediastinum.
About the Authors
Yu. S. Kuznetsov
Regional Clinical Hospital No. 2 of Minzdrav of Krasnodar Territory
Russian Federation
Russian Federation
Yury S. Kuznetsov
350012, Krasnodar, Krasnykh Partizan str., 6
V. M. Durleshter
Regional Clinical Hospital No. 2 of Minzdrav of Krasnodar Territory; Kuban State Medical University of Minzdrav of Russia
Russian Federation
Russian Federation
Vladimir M. Durleshter, doctor of medical sciences, professor
350012, Krasnodar, Krasnykh Partizan str., 6
350063, Krasnodar, Mitrofana Sedina str.,4
V. A. Pshukov
Regional Clinical Hospital No. 2 of Minzdrav of Krasnodar Territory; Kuban State Medical University of Minzdrav of Russia
Russian Federation
Russian Federation
Valeriy A. Pshukov
350012, Krasnodar, Krasnykh Partizan str., 6
350063, Krasnodar, Mitrofana Sedina str.,4
V. V. Markin
Regional Clinical Hospital No. 2 of Minzdrav of Krasnodar Territory
Russian Federation
Russian Federation
Vitaly V. Markin
350012, Krasnodar, Krasnykh Partizan str., 6
А. А. Kryachko
Regional Clinical Hospital No. 2 of Minzdrav of Krasnodar Territory; Kuban State Medical University of Minzdrav of Russia
Russian Federation
Russian Federation
Andrey A. Kryachko, candidate of medical sciences
350012, Krasnodar, Krasnykh Partizan str., 6
350063, Krasnodar, Mitrofana Sedina str.,4
S. V. Shchyplyak
Regional Clinical Hospital No. 2 of Minzdrav of Krasnodar Territory
Russian Federation
Russian Federation
Sergey V. Shchuplyak
350012, Krasnodar, Krasnykh Partizan str., 6
D. S. Murashko
Regional Clinical Hospital No. 2 of Minzdrav of Krasnodar Territory; Kuban State Medical University of Minzdrav of Russia
Russian Federation
Russian Federation
Dmitry S. Murashko, candidate of medical sciences
350012, Krasnodar, Krasnykh Partizan str., 6
350063, Krasnodar, Mitrofana Sedina str.,4
V. A. Rudko
Regional Clinical Hospital No. 2 of Minzdrav of Krasnodar Territory
Russian Federation
Russian Federation
Vitaliy A. Rudko
350012, Krasnodar, Krasnykh Partizan str., 6
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