Müller Stephanie, Beyer-Westendorf Jan
Medizinische Klinik 1, Bereich Hämatologie und Hämostaseologie, Universitätsklinikum Carl Gustav Carus, Technische Universität Dresden.
Dtsch Med Wochenschr. 2020 Dec;145(24):1728-1734. doi: 10.1055/a-1198-3639. Epub 2020 Nov 30.
COVID-19 represents a clinical situation that lacks precedence and clinical experience. It introduces a number of pitfalls in well-established clinical routines and poses unique challenges to diagnostic pathways. This review discusses the current evidence on the thromboembolic risk of COVID-19 patients, the recommendations for thromboprophylaxis and the relevance of abnormal coagulation tests. Pathophysiological concepts are discussed and practical solutions and current guidance recommendations are presented.
新型冠状病毒肺炎(COVID-19)代表了一种缺乏先例和临床经验的临床情况。它在既定的临床常规中引入了许多陷阱,并给诊断途径带来了独特的挑战。本综述讨论了关于COVID-19患者血栓栓塞风险的当前证据、血栓预防建议以及凝血试验异常的相关性。文中讨论了病理生理概念,并提出了实际解决方案和当前的指导建议。