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新型冠状病毒肺炎背景下的肺泡出血:一例成功的血管介入与栓塞治疗报告

Alveolar hemorrhage in the setting of COVID-19: Report of a successful vascular intervention and embolization.

作者信息

Mohammadi Afshin, Boroofeh Behdad, Mousavi-Aghdas Seyed Ali, Mirza-Aghazadeh-Attari Mohammad

机构信息

Department of Radiology, Faculty of Medicine, Urmia University of Medical Sciences, Urmia, Iran.

Department of Internal Medicine, Urmia University of Medical Sciences, Urmia, Iran.

出版信息

Radiol Case Rep. 2021 Jul;16(7):1777-1779. doi: 10.1016/j.radcr.2021.04.034. Epub 2021 May 4.

DOI:10.1016/j.radcr.2021.04.034
PMID:33968288
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8095242/
Abstract

The coronavirus disease 2019 (COVID-19) is characterized by viral pneumonia with mild to moderate symptoms. Emerging studies suggest that some patients may experience uncommon complications, such as thrombotic or hemorrhagic episodes. Here we present a 59-year-old male patient who had a hemorrhage episode from a branch of the pulmonary arteries and was treated by interventional embolization. Our case report demonstrates the importance of early diagnosis of hemorrhagic complications of COVID-19 and the possible benefits of early vascular intervention.

摘要

2019冠状病毒病(COVID-19)的特征是伴有轻至中度症状的病毒性肺炎。新出现的研究表明,一些患者可能会出现罕见的并发症,如血栓形成或出血事件。在此,我们报告一名59岁男性患者,其肺动脉分支发生出血事件,并接受了介入栓塞治疗。我们的病例报告证明了早期诊断COVID-19出血并发症的重要性以及早期血管介入的潜在益处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a037/8121628/f34d190c8b8c/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a037/8121628/040abc8fd49a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a037/8121628/65217d92bca9/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a037/8121628/f34d190c8b8c/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a037/8121628/040abc8fd49a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a037/8121628/65217d92bca9/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a037/8121628/f34d190c8b8c/gr3.jpg

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本文引用的文献

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COVID-19 Imaging: What We Know Now and What Remains Unknown.COVID-19 影像学:我们现在知道什么,还有什么未知。
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Clinical Experience, Pathophysiology, and Considerations in the Prophylaxis and Treatment of Hypercoagulopathy of COVID-19: A Review Study.《COVID-19 高凝血症的预防和治疗中的临床经验、病理生理学和考虑因素:综述研究》。
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Clinical and radiological characteristics of pediatric patients with COVID-19: focus on imaging findings.新型冠状病毒肺炎患儿的临床和影像学特征:聚焦影像学表现
Jpn J Radiol. 2020 Oct;38(10):987-992. doi: 10.1007/s11604-020-01003-6. Epub 2020 Jun 13.
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Pulmonary post-mortem findings in a series of COVID-19 cases from northern Italy: a two-centre descriptive study.意大利北部一系列 COVID-19 病例的肺脏尸检结果:一项两中心描述性研究。
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Postmortem Examination of Patients With COVID-19.COVID-19 患者的尸检。
JAMA. 2020 Jun 23;323(24):2518-2520. doi: 10.1001/jama.2020.8907.
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Thromboembolic Findings in COVID-19 Autopsies: Pulmonary Thrombosis or Embolism?新冠病毒感染死亡病例尸检中的血栓栓塞发现:肺血栓形成还是肺栓塞?
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