Servicio de Anestesiología, Reanimación y Tratamiento del Dolor, Hospital Clínico de Barcelona, Barcelona, España.
Servicio de Anestesiología, Reanimación y Tratamiento del Dolor, Hospital Clínico de Barcelona, Barcelona, España.
Rev Esp Anestesiol Reanim (Engl Ed). 2021 Jan;68(1):41-45. doi: 10.1016/j.redar.2020.05.010. Epub 2020 May 25.
The covid-19 disease (coronavirus disease 2019) is a novel disease causing a world pandemic. Its presentation varies from an asymptomatic infection to a pneumonia with acute respiratory distress syndrome. We present a case presenting initially as a covid-19 pneumonia together with a disseminated intravascular coagulopathy consisting of arterial and venous thrombosis in different locations and a shock requiring admission in the intensive care unit. The abnormal coagulation test in covid-19 patients have been described since the first cases observed in Wuhan, China, as well as an increased incidence of venous thrombosis. On the contrary, a higher incidence of arterial thrombosis has not been described in these patients. The unusual case we present could be a manifestation of this altered tests.
新型冠状病毒肺炎（COVID-19）是一种新型疾病，引发了全球性大流行。其临床表现从无症状感染到伴有急性呼吸窘迫综合征的肺炎不等。我们报告了一例最初表现为 COVID-19 肺炎的病例，同时伴有弥散性血管内凝血，包括不同部位的动脉和静脉血栓形成以及需要入住重症监护病房的休克。自中国武汉首次观察到 COVID-19 病例以来，已描述了 COVID-19 患者的异常凝血试验，以及静脉血栓形成的发生率增加。相反，这些患者的动脉血栓形成发生率并没有增加。我们报告的这个不寻常病例可能是这些改变的检验结果的一种表现。
