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有症状的COVID-19患者急性肠系膜缺血的早期检测与成功管理

Early Detection and Successful Management of Acute Mesenteric Ischaemia in Symptomatic COVID-19 Patient.

作者信息

Balani Prashant, Bhuiyan Aniruddha S, Dalal Vijay N, Maheshwari Govardhan S

机构信息

Department of General Surgery, Holy Spirit Hospital, Andheri East, Mumbai, 400093 India.

Department of Vascular Surgery, Holy Spirit Hospital, Andheri East, Mumbai, 400093 India.

出版信息

Indian J Surg. 2022 Feb;84(1):209-211. doi: 10.1007/s12262-021-02839-6. Epub 2021 Apr 12.

Abstract

Acute mesenteric ischaemia is a life-threatening vascular emergency that requires early diagnosis and intervention to adequately restore mesenteric blood flow and to prevent bowel necrosis and patient death. Its overall mortality is 60-80% and the reported incidence is increasing. This case report emphasises that a patient with early detection and radiological management of acute mesenteric ischaemia being symptomatic for COVID-19 can avoid major bowel surgery and negate any morbidity or mortality associated with the same.

摘要

急性肠系膜缺血是一种危及生命的血管急症,需要早期诊断和干预,以充分恢复肠系膜血流,防止肠坏死和患者死亡。其总体死亡率为60%-80%,且报告的发病率正在上升。本病例报告强调,一名急性肠系膜缺血早期检测并接受放射学治疗且出现COVID-19症状的患者,可以避免进行大型肠道手术,并消除与之相关的任何发病率或死亡率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbf7/8039803/9fba9373f459/12262_2021_2839_Fig1_HTML.jpg

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