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COVID-19 相关死亡率在心脏手术后患者中。

COVID-19 related mortality in post-operative cardiac surgical patients.

机构信息

Department of Cardiac Surgery, St Bartholomew's Hospital, West Smithfield, London, EC1A 7BE, UK.

出版信息

J Cardiothorac Surg. 2021 Apr 26;16(1):112. doi: 10.1186/s13019-021-01487-x.

DOI:10.1186/s13019-021-01487-x
PMID:33902671
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8072080/
Abstract

BACKGROUND

COVID-19 has caused a global pandemic of unprecedented proportions. Elective cardiac surgery has been universally postponed with only urgent and emergency cardiac operations being performed. The National Health Service in the United Kingdom introduced national measures to conserve intensive care beds and significantly limit elective activity shortly after lockdown.

CASE PRESENTATION

We report two cases of early post-operative mortality secondary to COVID-19 infection immediately prior to the implementation of these widespread measures.

CONCLUSION

The role of cardiac surgery in the presence of COVID-19 is still very unpredictable and further studies on both short term and long term outcomes are warranted.

摘要

背景

COVID-19 已造成史无前例的全球大流行。除紧急和急救心脏手术外,所有择期心脏手术均已普遍推迟。英国国民保健制度在封锁后不久即采取国家措施以节省重症监护床位并显著限制择期手术。

病例介绍

我们报告了两例 COVID-19 感染的术后早期死亡病例,这两例均发生在广泛实施这些措施之前。

结论

在 COVID-19 存在的情况下,心脏手术的作用仍然非常不可预测,因此需要对短期和长期结果进行进一步研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6891/8074452/40f078fd1dd2/13019_2021_1487_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6891/8074452/40f078fd1dd2/13019_2021_1487_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6891/8074452/40f078fd1dd2/13019_2021_1487_Fig1_HTML.jpg

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本文引用的文献

1
At the heart of COVID-19.新冠病毒的核心
J Card Surg. 2020 Jun;35(6):1287-1294. doi: 10.1111/jocs.14596. Epub 2020 May 5.
2
Clinical Characteristics of Coronavirus Disease 2019 in China.《中国 2019 年冠状病毒病临床特征》
N Engl J Med. 2020 Apr 30;382(18):1708-1720. doi: 10.1056/NEJMoa2002032. Epub 2020 Feb 28.
3
Chest CT for Typical Coronavirus Disease 2019 (COVID-19) Pneumonia: Relationship to Negative RT-PCR Testing.胸部 CT 与典型 2019 冠状病毒病(COVID-19)肺炎:与阴性 RT-PCR 检测的关系。
Radiology. 2020 Aug;296(2):E41-E45. doi: 10.1148/radiol.2020200343. Epub 2020 Feb 12.
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Strategies for multivessel revascularization in patients with diabetes.多血管血运重建策略在糖尿病患者中的应用。
N Engl J Med. 2012 Dec 20;367(25):2375-84. doi: 10.1056/NEJMoa1211585. Epub 2012 Nov 4.