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新型冠状病毒肺炎继发眶上静脉血栓形成:首例病例

Superior ophthalmic vein thrombosis secondary to COVID-19: an index case.

作者信息

Khurram Ruhaid, Naidu Vishnu, Butt Mohsin F, Durnford Luke, Joffe Michael

机构信息

Department of Radiology, Royal Free Hospital, Royal Free London NHS Foundation Trust, Pond St, Hampstead, London, NW3 2QG.

出版信息

Radiol Case Rep. 2021 May;16(5):1138-1143. doi: 10.1016/j.radcr.2021.02.063. Epub 2021 Mar 3.

Abstract

Superior ophthalmic vein thrombosis is a very rare condition, known to have a profound negative impact on vision and eye movement function and is usually associated with orbital infections, inflammation, tumors, or carotid cavernous fistulae. There is an increased risk of arterial and venous thrombosis associated with COVID-19, the presence of which is related to a significantly increased risk of mortality. We report an index case of superior ophthalmic vein thrombosis in a 61-year-old male patient who was diagnosed with COVID-19 pneumonitis and a concomitant saddle pulmonary embolus. He was swiftly treated with low molecular weight heparin which led to the resolution of the thrombosis within 3 weeks. This case highlights the importance of considering this entity in the context of COVID-19 as well as providing prompt treatment to reduce the risk of complications.

摘要

眼上静脉血栓形成是一种非常罕见的病症,已知会对视力和眼球运动功能产生严重负面影响,通常与眼眶感染、炎症、肿瘤或颈动脉海绵窦瘘有关。2019冠状病毒病(COVID-19)会增加动脉和静脉血栓形成的风险,其存在与死亡率显著增加有关。我们报告了一例61岁男性眼上静脉血栓形成的索引病例,该患者被诊断为COVID-19肺炎并伴有鞍状肺栓塞。他迅速接受了低分子量肝素治疗,血栓在3周内得以消退。该病例强调了在COVID-19背景下考虑这一病症以及提供及时治疗以降低并发症风险的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/020a/7943967/b0637ad9b32a/gr1.jpg

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