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严重 COVID-19 患者的主动脉血栓:三例病例回顾。

Aortic thrombus in patients with severe COVID-19: review of three cases.

机构信息

Department of Internal Medicine, Hospital Universitario Infanta Leonor, Infanta Leonor, University Hospital, Avenida Gran Vía Este 80, 28031, Madrid, Spain.

Department of Radiology, Infanta Leonor University Hospital, Madrid, Spain.

出版信息

J Thromb Thrombolysis. 2021 Jan;51(1):237-242. doi: 10.1007/s11239-020-02219-z.

Abstract

Coronavirus disease 2019 (COVID-19) could predispose to both venous and arterial thromboembolism, in an exaggerated immune response to the virus, especially in severe patients. Even though aortic clots are a rare entity, the pro-coagulant nature of COVID-19 is associated with thrombosis in atypical locations and should be considered in patients with severe abnormalities in coagulation parameters. We describe a series of three cases of aortic thrombi diagnosed by computerized tomography (CT) angiography in patients with confirmed SARS-CoV-2 infection.

摘要

2019 年冠状病毒病(COVID-19)可能会使病毒产生过度的免疫反应,从而导致静脉和动脉血栓栓塞,尤其是在重症患者中。尽管主动脉血栓是一种罕见的病症,但 COVID-19 的促凝特性与非典型部位的血栓形成有关,因此应在凝血参数严重异常的患者中考虑到这一点。我们描述了三例经计算机断层扫描(CT)血管造影诊断的主动脉血栓形成的病例,这些患者均确诊感染了严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)。

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