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新型冠状病毒肺炎相关凝血病

COVID-19-associated coagulopathy.

作者信息

Franchini Massimo, Marano Giuseppe, Cruciani Mario, Mengoli Carlo, Pati Ilaria, Masiello Francesca, Veropalumbo Eva, Pupella Simonetta, Vaglio Stefania, Liumbruno Giancarlo Maria

机构信息

Italian National Blood Centre, Rome, Italy.

Department of Hematology and Transfusion Medicine, Carlo Poma Hospital, Mantua, Italy.

出版信息

Diagnosis (Berl). 2020 Nov 18;7(4):357-363. doi: 10.1515/dx-2020-0078.

Abstract

Coronavirus disease 2019 (COVID-19), a viral respiratory illness caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has been recently recognized as a systemic disorder inducing a prothrombotic state. The molecular mechanisms underlying the hypercoagulable state seen in patients with COVID-19 is still incompletely understood, although it presumably involves the close link between inflammatory and hemostatic systems. The laboratory coagulation monitoring of severely ill COVID-19 patients is mandatory to identify those patients at increased thrombotic risk and to modulate thromboprophylaxis accordingly. In this review, we summarize the current understanding on the pathogenesis, epidemiology, clinical and laboratory features and management of coagulopathy associated with COVID-19.

摘要

2019冠状病毒病(COVID-19)是由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起的病毒性呼吸道疾病,最近被认为是一种导致血栓前状态的全身性疾病。尽管COVID-19患者出现高凝状态的分子机制可能涉及炎症和止血系统之间的密切联系,但目前仍未完全了解。对重症COVID-19患者进行实验室凝血监测对于识别那些血栓形成风险增加的患者并相应调整血栓预防措施至关重要。在本综述中,我们总结了目前对与COVID-19相关的凝血病的发病机制、流行病学、临床和实验室特征以及管理的认识。

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