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留尼汪岛因 COVID-19 导致低氧血症性肺炎的返程旅行者中肺栓塞的检测。

Detection of Pulmonary Embolism in Returning Travelers with Hypoxemic Pneumonia due to COVID-19 in Reunion Island.

机构信息

1Pneumologie, Centre Hospitalier Universitaire Felix Guyon Allée des Topazes, Saint Denis, France.

2Radiologie, Centre Hospitalier Universitaire Felix Guyon Allée des Topazes, Saint Denis, France.

出版信息

Am J Trop Med Hyg. 2020 Aug;103(2):844-846. doi: 10.4269/ajtmh.20-0597. Epub 2020 Jul 1.

Abstract

The aim of this study was to evaluate the occurrence of pulmonary embolism in returning travelers with hypoxemic pneumonia due to COVID-19. All returning travelers to Reunion Island with hypoxemic pneumonia due to COVID-19 underwent computed tomography pulmonary angiography (CTPA) and were included in the cohort. Thirty-five patients were returning travelers with hypoxemic pneumonia due to COVID-19 and had recently returned from one of the countries most affected by the COVID-19 outbreak (mainly from France and Comoros archipelago). Five patients (14.3%) were found to have pulmonary embolism and two (5.9%) were incidentally found to have deep vein thrombosis on CTPA. Patients with pulmonary embolism or deep vein thrombosis had higher D-dimer levels than those without pulmonary embolism or deep vein thrombosis ( = 0.04). Returning travelers with hypoxemic pneumonia due to COVID-19 should be systematically screened for pulmonary embolism.

摘要

本研究旨在评估 COVID-19 导致低氧血症性肺炎的归国旅行者中肺栓塞的发生情况。所有因 COVID-19 导致低氧血症性肺炎而返回留尼汪岛的旅行者均接受了计算机断层肺动脉造影(CTPA)检查,并纳入了该队列。35 例因 COVID-19 导致低氧血症性肺炎且近期从受 COVID-19 疫情影响最严重的国家之一(主要来自法国和科摩罗群岛)返回的旅行者被诊断为低氧血症性肺炎。在 CTPA 上发现 5 例(14.3%)患者患有肺栓塞,2 例(5.9%)患者偶然发现深静脉血栓形成。患有肺栓塞或深静脉血栓形成的患者的 D-二聚体水平高于未患有肺栓塞或深静脉血栓形成的患者(=0.04)。COVID-19 导致低氧血症性肺炎的归国旅行者应系统筛查肺栓塞。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bce/7410458/39bded77997e/tpmd200597f1.jpg

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