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2019年冠状病毒病流行期间肺栓塞的罕见表现:多器官超声检查的应用价值

Rare Presentation of Pulmonary Embolism Amidst Coronavirus Disease 2019 Era: Utility of Multiorgan Ultrasonography.

作者信息

Ahmed Taha, Ahmed Talha, Kumar Sany, Lodhi Samra Haroon, Akbik Bassel

机构信息

Internal Medicine, Cleveland Clinic Foundation, Cleveland, USA.

Internal Medicine, University of Maryland Medical Center, Baltimore, USA.

出版信息

Cureus. 2020 Jun 5;12(6):e8452. doi: 10.7759/cureus.8452.

DOI:10.7759/cureus.8452
PMID:32642364
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7336594/
Abstract

Coronavirus disease 2019 (COVID-19) pandemic caused by severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) is the underlying cause of a global crisis that the entire world is facing. It is a highly contagious viral infection, which is why social distancing seems to be effective. Its ability to survive on various surfaces and aerosolize necessitates very meticulous precautions, including airborne isolation for severely ill patients requiring mechanical ventilation. However, these patients may need routine diagnostic investigations including chest computed tomography and chest tomography angiogram scans (CT and CTA) to rule out other potential differential diagnoses and guide management. In this case, we focus on the utility of multiorgan ultrasonography (MOU) at the bedside to diagnose and manage pulmonary embolism (PE) in COVID-19 patients.

摘要

由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起的2019冠状病毒病(COVID-19)大流行是全世界正在面临的全球危机的根本原因。它是一种高度传染性的病毒感染,这就是为什么社交距离似乎有效。它在各种表面存活和气溶胶化的能力使得必须采取非常细致的预防措施,包括对需要机械通气的重症患者进行空气隔离。然而,这些患者可能需要进行常规诊断检查,包括胸部计算机断层扫描和胸部断层血管造影扫描(CT和CTA),以排除其他潜在的鉴别诊断并指导治疗。在这种情况下,我们重点关注床旁多器官超声检查(MOU)在诊断和管理COVID-19患者肺栓塞(PE)方面的效用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0232/7336594/c8c917f1279f/cureus-0012-00000008452-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0232/7336594/c8c917f1279f/cureus-0012-00000008452-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0232/7336594/c8c917f1279f/cureus-0012-00000008452-i01.jpg

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本文引用的文献

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COVID-19 pneumonia with hemoptysis: Acute segmental pulmonary emboli associated with novel coronavirus infection.COVID-19 合并咯血性肺炎:新型冠状病毒感染相关急性节段性肺栓塞。
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COVID-19 infection epidemic: the medical management strategies in Heilongjiang Province, China.新型冠状病毒肺炎感染疫情:中国黑龙江省的医疗管理策略
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Clinical and CT features in pediatric patients with COVID-19 infection: Different points from adults.
儿童 COVID-19 感染的临床和 CT 特征:与成人的不同点。
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[Characteristics, causes, diagnosis and treatment of coagulation dysfunction in patients with COVID-19].[新型冠状病毒肺炎患者凝血功能障碍的特点、病因、诊断与治疗]
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Coronavirus (COVID-19) Outbreak: What the Department of Radiology Should Know.冠状病毒(COVID-19)疫情爆发:放射科应了解的事项。
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Acute pulmonary embolism: a concise review of diagnosis and management.急性肺栓塞:诊断与管理简述。
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A prospective validation of the Bova score in normotensive patients with acute pulmonary embolism.在血压正常的急性肺栓塞患者中对 Bova 评分的前瞻性验证。
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10
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