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Thrombotic and haemorrhagic complications in critically ill patients with COVID-19: a multicentre observational study.COVID-19 重症患者的血栓和出血并发症:一项多中心观察研究。
Crit Care. 2020 Sep 18;24(1):561. doi: 10.1186/s13054-020-03260-3.
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Prevention, Diagnosis, and Treatment of VTE in Patients With Coronavirus Disease 2019: CHEST Guideline and Expert Panel Report.新型冠状病毒肺炎患者静脉血栓栓塞症的预防、诊断和治疗:CHEST 指南和专家报告。
Chest. 2020 Sep;158(3):1143-1163. doi: 10.1016/j.chest.2020.05.559. Epub 2020 Jun 2.
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Thromboelastographic Results and Hypercoagulability Syndrome in Patients With Coronavirus Disease 2019 Who Are Critically Ill.新冠肺炎危重症患者血栓弹力图结果与高凝综合征。
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COVID-19 and coagulation: bleeding and thrombotic manifestations of SARS-CoV-2 infection.COVID-19 和凝血:SARS-CoV-2 感染的出血和血栓形成表现。
Blood. 2020 Jul 23;136(4):489-500. doi: 10.1182/blood.2020006520.
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Thrombosis risk associated with COVID-19 infection. A scoping review.与 COVID-19 感染相关的血栓形成风险。范围综述。
Thromb Res. 2020 Aug;192:152-160. doi: 10.1016/j.thromres.2020.05.039. Epub 2020 May 27.
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Coagulopathy of Coronavirus Disease 2019.新型冠状病毒疾病的凝血功能障碍。
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Scientific and Standardization Committee communication: Clinical guidance on the diagnosis, prevention, and treatment of venous thromboembolism in hospitalized patients with COVID-19.科学与标准化委员会通讯:新型冠状病毒肺炎住院患者静脉血栓栓塞症诊断、预防及治疗的临床指南
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Deep Vein Thrombosis in Hospitalized Patients With COVID-19 in Wuhan, China: Prevalence, Risk Factors, and Outcome.中国武汉 COVID-19 住院患者的深静脉血栓形成:患病率、危险因素和结局。
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Evaluation of coagulation function by rotation thromboelastometry in critically ill patients with severe COVID-19 pneumonia.危重症 COVID-19 肺炎患者旋转血栓弹性描记术评估凝血功能。
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Confirmation of the high cumulative incidence of thrombotic complications in critically ill ICU patients with COVID-19: An updated analysis.确认 COVID-19 重症 ICU 患者的血栓并发症累积发生率较高:更新分析。
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新加坡危重症新冠病毒肺炎患者静脉血栓形成发生率低,但动脉血栓形成并发症发生率高。

Low incidence of venous thrombosis but high incidence of arterial thrombotic complications among critically ill COVID-19 patients in Singapore.

作者信息

Tan Chuen Wen, Fan Bingwen Eugene, Teo Winnie Z Y, Tung Moon Ley, Shafi Humaira, Christopher Dheepa, Zheng Shuwei, Peh Wee Ming, Chan Stephrene Seok Wei, Chong Vanessa Cui Lian, Gallardo Christian Aledia, Chang Cheng Chieh Ray, Ling Li Min, Tan Jing Yuan, Lee Ken Cheah Hooi, Phua Ghee Chee, Cherng Benjamin Pei Zhi, Low Jenny Guek Hong, Ho Vui Kian, Prasad Vishnu, Wong Lester Jung Long, Lim Cheryl Xiu Qi, Chee Yen Lin, Ong Kiat Hoe, Lee Lai Heng, Ng Heng Joo, Yap Eng Soo

机构信息

Department of Haematology, Singapore General Hospital, Singapore, Singapore.

Department of Haematology, Tan Tock Seng Hospital, Singapore, Singapore.

出版信息

Thromb J. 2021 Mar 8;19(1):14. doi: 10.1186/s12959-021-00268-9.

DOI:10.1186/s12959-021-00268-9
PMID:33685477
原文链接:
https://pmc.ncbi.nlm.nih.gov/articles/PMC7938262/
Abstract

BACKGROUND

Arterial and venous thrombosis are reported to be common in critically ill COVID-19 patients.

METHOD AND RESULTS

This is a national multicenter retrospective observational study involving all consecutive adult COVID-19 patients who required intensive care units (ICU) admission between 23 January 2020 and 30 April 2020 in Singapore. One hundred eleven patients were included and the venous and arterial thrombotic rates in ICU were 1.8% (n = 2) and 9.9% (n = 11), respectively. Major bleeding rate was 14.8% (n = 16).

CONCLUSIONS

Critically ill COVID-19 patients in Singapore have lower venous thromboembolism but higher arterial thrombosis rates and bleeding manifestations than other reported cohorts.

摘要

背景

据报道,动脉和静脉血栓形成在危重症COVID-19患者中很常见。

方法与结果

这是一项全国性多中心回顾性观察研究,纳入了2020年1月23日至2020年4月30日期间在新加坡所有因需要入住重症监护病房(ICU)而连续收治的成年COVID-19患者。共纳入111例患者,ICU中的静脉和动脉血栓形成率分别为1.8%(n = 2)和9.9%(n = 11)。大出血率为14.8%(n = 16)。

结论

与其他报道的队列相比,新加坡的危重症COVID-19患者静脉血栓栓塞发生率较低,但动脉血栓形成率和出血表现较高。