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COVID-19 相关凝血功能障碍:发病机制及临床意义简述。

COVID-19-associated coagulopathy: a concise review on pathogenesis and clinical implications.

机构信息

Division of Cardiovascular Medicine, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA.

Baim Institute for Clinical Research, Boston, MA 02215, USA.

出版信息

Infez Med. 2021 Mar 1;29(1):1-9.

Abstract

In this review, we summarize the possible mechanisms of COVID-19-associated coagulopathy and compare its features to other similar conditions. The recent COVID-19 pandemic has caused enormous mortality and morbidity worldwide. It is important to note that COVID-19-associated thrombotic events play a huge role in the morbidity of this disease. Interestingly, it has been observed that this complication may occur despite prophylactic anticoagulant therapy. Recent studies on COVID-19-associated coagulopathy revealed that the COVID-19-associated hypercoagulability is more frequently observed among those with a severe course of the disease. Various mechanisms have been suggested as explanations for this condition and possible underlying etiologies.

摘要

在这篇综述中,我们总结了 COVID-19 相关凝血功能障碍的可能机制,并将其特征与其他类似情况进行了比较。最近的 COVID-19 大流行在全球范围内造成了巨大的死亡率和发病率。值得注意的是,COVID-19 相关的血栓事件在该疾病的发病率中起着巨大的作用。有趣的是,尽管进行了预防性抗凝治疗,但仍观察到这种并发症的发生。最近关于 COVID-19 相关凝血功能障碍的研究表明,COVID-19 相关的高凝状态在疾病严重程度较高的患者中更为常见。已经提出了各种机制来解释这种情况和可能的潜在病因。

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