Pneumomediastinum as a predictor of negative prognosis in patients with coronavirus pneumonia

Aim of the study was to analyze course coronavirus pneumonia in patients with pneumomediastinum. Material and methods. The included 139 patients, 71 whom developed spontaneous pneumomediastinum against background pneumonia. Laboratory, clinical radiological data were analyzed compared. Results. relationship between severity viral (3rd–4th degree according MSCT) revealed. It found that mediastinal emphysema COVID-19 signifcantly more often leads development acute respiratory distress syndrome, multiple organ failure can be a predictor negative prognosis disease outcome. Conclusions. Pneumomediastinum caused by new infection is severe poor prognosis. With an increase without pneumothorax, it recommended perform mediastinotomy Razumovsky’s indications, case clinically signifcant concomitant pneumothorax – drainage revision mediastinum.