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新型冠状病毒肺炎疫情期间疑似静脉血栓栓塞症的诊治。

Practical diagnosis and treatment of suspected venous thromboembolism during COVID-19 pandemic.

机构信息

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.

出版信息

J Vasc Surg Venous Lymphat Disord. 2020 Jul;8(4):526-534. doi: 10.1016/j.jvsv.2020.04.009. Epub 2020 Apr 17.

Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44c7/7162794/8bcb9efa1b48/gr1_lrg.jpg

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