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《COVID-19 患者静脉血栓栓塞现象综述》

A Review of Venous Thromboembolism Phenomena in COVID-19 Patients.

机构信息

Interventional Cardiology Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.

Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Curr Probl Cardiol. 2021 Mar;46(3):100692. doi: 10.1016/j.cpcardiol.2020.100692. Epub 2020 Aug 28.

Abstract

With the outbreak of the second peak of COVID-19 in many countries of the world, the symptoms and complications of this disease has received a great deal of attention. One of the most important known complications of severe acute respiratory syndrome coronavirus 2 is the occurrence of venous thromboembolic events, especially in critically ill patients who are hospitalized in the intensive care unit. The pathology of this event is complex and multifactorial, but the main problem now is the timely diagnosis of these phenomena, which can reduce the mortality and morbidity of patients. Deterioration of clinical condition in patients with severe acute respiratory syndrome coronavirus 2 infection along with increased coagulation markers can increase clinical suspicion of venous thromboembolic events. Imaging techniques, especially computed tomography pulmonary angiography, can well solve this puzzle and lead to timely treatment of these patients.

摘要

随着世界上许多国家 COVID-19 第二波高峰的爆发,这种疾病的症状和并发症受到了极大的关注。严重急性呼吸综合征冠状病毒 2 最重要的已知并发症之一是静脉血栓栓塞事件的发生,特别是在重症监护病房住院的危重病患者中。这种事件的病理学是复杂的和多因素的,但目前的主要问题是及时诊断这些现象,这可以降低患者的死亡率和发病率。严重急性呼吸综合征冠状病毒 2 感染患者的临床状况恶化以及凝血标志物增加会增加对静脉血栓栓塞事件的临床怀疑。成像技术,特别是计算机断层扫描肺动脉造影,可以很好地解决这个难题,并导致及时治疗这些患者。

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