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重症新冠患者的中风:来自前线的警示故事。

Stroke in critical COVID-19 patients: a cautionary tale from the frontlines.

作者信息

Jain Anant, Jafri Firas, Manglani Ravi, Al-Mufti Fawaz, Aronow Wilbert S, Chandy Dipak

机构信息

Department of Medicine, Westchester Medical Center, Valhalla, NY, USA.

Division of Pulmonary, Critical Care and Sleep Medicine, Westchester Medical Center, Valhalla, NY, USA.

出版信息

Arch Med Sci Atheroscler Dis. 2020 Dec 29;5:e263-e270. doi: 10.5114/amsad.2020.102423. eCollection 2020.

DOI:10.5114/amsad.2020.102423
PMID:33644484
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7885816/
Abstract

INTRODUCTION

Although Coronavirus Disease 2019 (COVID-19) is primarily a disease of the respiratory system in its transmission and clinical manifestations, physicians have also reported a tropism toward the nervous system.

METHODS

Neurological symptoms can occur as one of many systemic manifestations of a critical form of the disease or in isolation as the predominant presenting complaint.

RESULTS

We report a series of 6 patients who suffered significant cerebrovascular accidents while being treated for critical COVID-19 in the intensive care units of a quaternary care hospital in New York's Hudson valley.

CONCLUSIONS

This series demonstrates how a relatively rare but catastrophic neurological complication can occur in patients with COVID-19 while they are being managed for their more common problems such as respiratory and renal failure.

摘要

引言

尽管2019冠状病毒病(COVID-19)在传播和临床表现上主要是一种呼吸系统疾病,但医生们也报告称其对神经系统有嗜性。

方法

神经症状可能作为重症形式疾病的多种全身表现之一出现,或单独作为主要的就诊主诉出现。

结果

我们报告了一系列6例患者,他们在纽约哈德逊河谷一家四级医疗医院的重症监护病房接受重症COVID-19治疗时发生了严重的脑血管意外。

结论

该系列病例表明,COVID-19患者在治疗其更常见的问题(如呼吸和肾衰竭)时,可能会出现相对罕见但灾难性的神经并发症。

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本文引用的文献

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N Engl J Med. 2020 Aug 6;383(6):590-592. doi: 10.1056/NEJMc2011400. Epub 2020 May 13.
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Management of acute ischemic stroke in patients with COVID-19 infection: Report of an international panel.COVID-19 感染患者急性缺血性脑卒中的管理:国际专家组报告。
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Potential neurological symptoms of COVID-19.新型冠状病毒肺炎的潜在神经症状。
Ther Adv Neurol Disord. 2020 Mar 28;13:1756286420917830. doi: 10.1177/1756286420917830. eCollection 2020.
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