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年轻男性 COVID-19 患者发生迟发性肺栓塞,该患者其他方面健康。

Late onset pulmonary embolism in young male otherwise healthy COVID-19 patients.

机构信息

Department for Infectious Diseases and Tropical Medicine, Kaiser-Franz-Josef Hospital, Kundratstraße 3, 1100, Vienna, Austria.

出版信息

Eur J Clin Microbiol Infect Dis. 2021 Mar;40(3):633-635. doi: 10.1007/s10096-020-04044-x. Epub 2020 Sep 23.

DOI:10.1007/s10096-020-04044-x
PMID:32965656
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7509817/
Abstract

SARS-CoV-2 infection is associated with increased risk of thrombosis in severely ill patients but little is known about the risk in outpatients with mild to moderate disease. Our case series consists of four male otherwise healthy patients between 32 and 50 years of age. Initial symptoms completely resolved but they developed new onset of dyspnea and thoracic pain at days 14 to 26. CT scan revealed pulmonary embolism in all patients which led to hospitalization. Standard anticoagulation practice needs to be re-evaluated and may  be considered for certain outpatients with COVID-19.

摘要

SARS-CoV-2 感染与重症患者血栓形成风险增加相关,但对于轻症和中度疾病的门诊患者的风险知之甚少。我们的病例系列包括 4 名年龄在 32 至 50 岁之间的其他方面健康的男性患者。最初的症状完全缓解,但在第 14 至 26 天出现新的呼吸困难和胸痛。所有患者的 CT 扫描均显示肺栓塞,导致住院治疗。需要重新评估标准抗凝治疗,并可能考虑对某些 COVID-19 门诊患者使用。

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