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COVID-19 相关脓毒症诱导性中性粒细胞减少症患者弥散性血管内凝血的消退。

Resolution of Disseminated Intravascular Coagulation in a Patient with COVID-19 and Associated Sepsis-Induced Neutropenia.

机构信息

Department of Medicine, Ospedale Buonconsiglio Fatebenefratelli di Napoli, 80122 Naples, Italy.

Intensive Care Unit, Ospedale Buonconsiglio Fatebenefratelli di Napoli, 80129 Naples, Italy.

出版信息

Medicina (Kaunas). 2021 Jan 24;57(2):106. doi: 10.3390/medicina57020106.

Abstract

COVID-19 has been associated with a hypercoagulable state and thrombotic events. Venous thromboembolism has been the most commonly reported type of thrombosis but also arterial thrombosis and disseminated intravascular coagulation in inpatients have been described frequently in several clinical experiences. Patients with COVID-19, because of its tendency to induce leucopenia and overlapping of bacterial infection, may experience sudden disseminated intravascular coagulation (DIC), as in the case that we report here. However, early diagnosis and treatment may be associated with positive resolution of these severe complications.

摘要

COVID-19 与高凝状态和血栓事件有关。静脉血栓栓塞是最常报告的血栓类型,但在几项临床经验中,也经常描述住院患者的动脉血栓形成和弥散性血管内凝血。由于 COVID-19 倾向于诱导白细胞减少和细菌感染重叠,患者可能会像我们在此报告的病例一样,突然发生弥散性血管内凝血 (DIC)。然而,早期诊断和治疗可能与这些严重并发症的积极解决相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae14/7911171/71b8c9284d52/medicina-57-00106-g001.jpg

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