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孤立性贵要静脉血栓形成作为一名年轻患者新冠肺炎的罕见表现

Isolated Basilic Vein Thrombosis as a Rare Presentation of COVID-19 in a Young Patient.

作者信息

Acharya Sameer, Lee Janette, Kelly Tyler, Kshetree Binay K

机构信息

Internal Medicine, Cayuga Medical Center, Ithaca, New York, USA.

出版信息

Cureus. 2021 Mar 29;13(3):e14178. doi: 10.7759/cureus.14178.

DOI:10.7759/cureus.14178
PMID:33936889
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8081373/
Abstract

COVID-19 has not spared a single system in the human body. Although acute respiratory failure culminating sometimes in death remains the most common manifestation of severe infection, hypercoagulability leading to deep vein thrombosis (DVT), pulmonary embolism (PE), and stroke have also been identified widely. Here, we describe a young patient with a COVID-19 infection who developed right basilic vein thrombosis. This case demonstrates how thrombosis can occur in uncommon sites and how clinicians should be vigilant for thrombotic complications in both the inpatient and outpatient settings.

摘要

新型冠状病毒肺炎(COVID-19)对人体的各个系统都有影响。虽然严重感染最常见的表现仍是急性呼吸衰竭,有时会导致死亡,但高凝状态导致的深静脉血栓形成(DVT)、肺栓塞(PE)和中风也已被广泛发现。在此,我们描述一名感染COVID-19的年轻患者,其出现了右侧贵要静脉血栓形成。该病例表明血栓可在不常见的部位发生,以及临床医生在住院和门诊环境中都应警惕血栓形成并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f582/8081373/572a2c997d12/cureus-0013-00000014178-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f582/8081373/572a2c997d12/cureus-0013-00000014178-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f582/8081373/572a2c997d12/cureus-0013-00000014178-i01.jpg

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本文引用的文献

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Cureus. 2021 Jan 22;13(1):e12856. doi: 10.7759/cureus.12856.
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Coronavirus Disease 2019-Associated Thrombosis and Coagulopathy: Review of the Pathophysiological Characteristics and Implications for Antithrombotic Management.新型冠状病毒病相关血栓形成和凝血障碍:病理生理学特征综述及其对抗血栓治疗管理的影响。
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Acute Upper Limb Ischemia Due To Arterial Thrombosis in a Mild COVID-19 Patient: A Case Report.
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Cureus. 2020 Sep 10;12(9):e10349. doi: 10.7759/cureus.10349.
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COVID-19 infection and thrombosis.COVID-19 感染与血栓。
Clin Chim Acta. 2020 Nov;510:344-346. doi: 10.1016/j.cca.2020.07.046. Epub 2020 Jul 24.
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The Emerging Threat of (Micro)Thrombosis in COVID-19 and Its Therapeutic Implications.新型冠状病毒肺炎中(微)血栓形成的新威胁及其治疗意义。
Circ Res. 2020 Jul 31;127(4):571-587. doi: 10.1161/CIRCRESAHA.120.317447. Epub 2020 Jun 26.
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