2019冠状病毒病危重症患者的心脏内血栓：病例报告
Intra cardiac thrombus in critically ill patient with coronavirus disease 2019: Case report.
作者信息
El Aidouni Ghizlane, Merbouh Manal, Aabdi Mohammed, Bouabdallaoui Amine, Bkiyar Houssam, Smaili Nabila, Elouafi Nouha, Housni Brahim
机构信息
Intensive Care Unit, Mohammed VI University Hospital Center, Mohammed first University, Faculty of medicine and pharmacy, Oujda, Morocco.
Cardiology Department, Mohammed VI University Hospital Center, Mohammed first University, Faculty of medicine and pharmacy, Oujda, Morocco.
出版信息
Ann Med Surg (Lond). 2021 Jun;66:102434. doi: 10.1016/j.amsu.2021.102434. Epub 2021 May 26.
INTRODUCTION
With the outbreak of COVID-19, the number of cardiac manifestations related to this virus was more remarquable, among them heart thrombus (HTh) which is considered as a rare and severe complication associated with thromboembolic phenomena.
METHODS
We present case report of 4 patients who presented heart thrombus as a complication of COVID-19.
CASES REPORT MANAGEMENT
During the pandemic, these patients were presented to our center for respiratory symptoms related to COVID-19 infection. All of them was hemodynamically unstable. On further assessment, Diagnosis was confirmed by trans -thoracic echography, one patient (1/4) had left ventricle thrombus, one patient (1/4) had right atrium thrombus and right ventricle thrombus was dominated in the rest of patients (2/4). Therapeutic component was based on unfractionated heparin and fibrinolytic.
CONCLUSION
COVID-19 patients could represent a population at high risk of HTh. Multidisciplinary approach and bed routine transthoracic echography can enhance the management of this cardiac complication.
引言
随着新冠疫情的爆发，与该病毒相关的心脏表现数量更为显著，其中心脏血栓（HTh）被认为是一种与血栓栓塞现象相关的罕见且严重的并发症。
方法
我们报告了4例出现心脏血栓作为新冠并发症的病例。
病例报告管理
在疫情期间，这些患者因与新冠感染相关的呼吸道症状前来我们中心就诊。他们均血流动力学不稳定。进一步评估时，经胸超声心动图确诊，1例患者（1/4）有左心室血栓，1例患者（1/4）有右心房血栓，其余患者（2/4）以右心室血栓为主。治疗方案基于普通肝素和溶栓治疗。
结论
新冠患者可能是发生心脏血栓的高危人群。多学科方法和常规床旁经胸超声心动图可加强对这种心脏并发症的管理。
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