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COVID-19 重症患者发生肠坏死：一例病例报告。

Bowel necrosis in patient with severe case of COVID-19: a case report.

机构信息

Department of Surgery, School of Medicine and Health Science, Atma Jaya Catholic University of Indonesia, Pluit Raya No. 2, North Jakarta, 14440, Jakarta, Indonesia.

Department of Surgery, Pondok Indah Puri Indah Hospital, Puri Indah Raya S-2, West Jakarta, Jakarta, 11610, Indonesia.

出版信息

BMC Surg. 2021 Feb 22;21(1):97. doi: 10.1186/s12893-021-01104-7.

DOI:10.1186/s12893-021-01104-7
PMID:33618677
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7897896/
Abstract

BACKGROUND

In patients who are critically ill with COVID-19, multiple extrapulmonary manifestations of the disease have been observed, including gastrointestinal manifestations.

CASE PRESENTATION

We present a case of a 65 year old man with severe COVID-19 pneumonia that developed hypercoagulation and peritonitis. Emergent laparotomy was performed and we found bowel necrosis in two sites.

CONCLUSIONS

Although rare, the presentation of COVID-19 with bowel necrosis requires emergency treatments, and it has high mortality rate.

摘要

背景

在 COVID-19 重症患者中，观察到了疾病的多种肺外表现，包括胃肠道表现。

病例介绍

我们报告了 1 例 65 岁男性 COVID-19 重症肺炎患者，该患者出现了高凝和腹膜炎。紧急进行了剖腹手术，我们发现两处肠坏死。

结论

虽然罕见，但 COVID-19 合并肠坏死的表现需要紧急治疗，且死亡率很高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb86/7898743/fe9e2837352b/12893_2021_1104_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb86/7898743/28887bb0a382/12893_2021_1104_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb86/7898743/2c855261cf57/12893_2021_1104_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb86/7898743/3bfc463df433/12893_2021_1104_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb86/7898743/46b7d87dee34/12893_2021_1104_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb86/7898743/fe9e2837352b/12893_2021_1104_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb86/7898743/28887bb0a382/12893_2021_1104_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb86/7898743/2c855261cf57/12893_2021_1104_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb86/7898743/3bfc463df433/12893_2021_1104_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb86/7898743/46b7d87dee34/12893_2021_1104_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb86/7898743/fe9e2837352b/12893_2021_1104_Fig5_HTML.jpg

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Bowel Necrosis in the Setting of COVID-19.
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COVID-19-Related Severe Hypercoagulability in Patients Admitted to Intensive Care Unit for Acute Respiratory Failure.COVID-19 相关严重高凝状态与急性呼吸衰竭入住重症监护病房患者。
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