Department of Surgery, Section of Vascular Surgery, University of Michigan Health System, Ann Arbor, Mich.
Department of Cardiology, Section of Vascular Medicine, University of Michigan Health System, Ann Arbor, Mich.
J Vasc Surg Venous Lymphat Disord. 2020 Jul;8(4):526-534. doi: 10.1016/j.jvsv.2020.04.009. Epub 2020 Apr 17.
A markedly increased demand for vascular ultrasound laboratory and other imaging studies in COVID-19-positive patients has occurred, due to most of these patients having a markedly elevated D-dimer and a presumed prothrombotic state in many of the very ill patients. In the present report, we have summarized a broad institutional consensus focusing on evaluation and recommended empirical therapy for COVID-19-positive patients. We recommend following the algorithms with the idea that as more data becomes available these algorithms may well change.
由于大多数 COVID-19 阳性患者的 D-二聚体显著升高,且许多重症患者可能存在潜在的血栓前状态,因此对血管超声实验室和其他影像学检查的需求明显增加。在本报告中,我们总结了广泛的机构共识,重点是对 COVID-19 阳性患者的评估和推荐的经验性治疗。我们建议遵循这些算法,因为随着更多数据的出现,这些算法很可能会发生变化。