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2019 年冠状病毒病(COVID-19)与缺血性结肠炎:一种被低估的并发症。

Coronavirus disease 2019 (COVID-19) and ischemic colitis: An under-recognized complication.

机构信息

Department of Medical Education, Saint Michael's Medical Centre, New York Medical College, NJ, United States.

Department of Medical Education, Saint Michael's Medical Centre, New York Medical College, NJ, United States.

出版信息

Am J Emerg Med. 2020 Dec;38(12):2758.e1-2758.e4. doi: 10.1016/j.ajem.2020.05.072. Epub 2020 May 27.

Abstract

COVID-19 has spread worldwide, with more than 2.5 million cases and over 80,000 deaths reported by the end of April 2020. In addition to pulmonary symptoms, gastrointestinal symptoms have been increasingly recognized as part of the disease spectrum. COVID-19-associated coagulopathy has recently emerged as a major component of the disease, leading to high morbidity and mortality. Ischemic colitis has been reported to be associated with a hypercoagulable state. To our knowledge, there have not been any case reports of COVID-19 associated with ischemic colitis. Herein, we present the first case of a probable association of COVID-19 with ischemic colitis in a patient with a hypercoagulable state.

摘要

截至 2020 年 4 月底,全球已报告超过 250 万例病例和超过 8 万例死亡。除了肺部症状外,胃肠道症状也越来越被认为是疾病谱的一部分。COVID-19 相关的凝血障碍最近成为疾病的一个主要组成部分,导致高发病率和死亡率。缺血性结肠炎已被报道与高凝状态有关。据我们所知,目前还没有 COVID-19 与缺血性结肠炎相关的病例报告。在此,我们报告了首例高凝状态患者 COVID-19 合并缺血性结肠炎的可能病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16c5/7251350/2e0448ef1747/gr1_lrg.jpg

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