Schultz Kathryn, Wolf Jennifer Moriatis
University of Chicago Pritzker School of Medicine, Chicago, IL.
Department of Orthopaedic Surgery, University of Chicago, Chicago, IL.
J Hand Surg Am. 2020 Jun;45(6):518-522. doi: 10.1016/j.jhsa.2020.04.024. Epub 2020 Apr 30.
As coronavirus 2019 (COVID-19) continues to cause an immense burden on the global health care systems, it is crucial to understand the breadth of this disease process. Recent reports identified hypercoagulability in a subset of critically ill patients and extremity ischemia in an even smaller cohort. Because abnormal coagulation parameters and extremity ischemia have been shown to correlate with poor disease prognosis, understanding how to treat these patients is crucial. To better describe the identification and management of this phenomenon, we present 2 cases of critically ill patients with COVID-19 who developed fingertip ischemia while in the intensive care unit.
随着2019冠状病毒病(COVID-19)继续给全球医疗系统带来巨大负担,了解这一疾病过程的广度至关重要。最近的报告指出,一部分重症患者存在高凝状态,而在更小的队列中发现了肢体缺血情况。由于异常凝血参数和肢体缺血已被证明与疾病预后不良相关,因此了解如何治疗这些患者至关重要。为了更好地描述这一现象的识别和管理,我们介绍2例COVID-19重症患者在重症监护病房期间出现指尖缺血的病例。