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冠状病毒疫苗接种后疫苗诱导的血栓性血小板减少症:一项叙述性综述。

Vaccine-induced thrombotic thrombocytopenia following coronavirus vaccine: A narrative review.

作者信息

Ahmed Syed Hassan, Shaikh Taha Gul, Waseem Summaiyya, Qadir Nashwa Abdul, Yousaf Zohaib, Ullah Irfan

机构信息

Dow University of Health Sciences, Karachi, Pakistan.

Department of Internal Medicine, Hamad Medical Corporation, Doha, Qatar.

出版信息

Ann Med Surg (Lond). 2022 Jan;73:102988. doi: 10.1016/j.amsu.2021.102988. Epub 2021 Oct 30.

Abstract

The novel coronavirus pandemic has taken a toll on the global healthcare systems and economy. Safety precautions, along with vaccination, are the most effective preventive measures. The global vaccination program against COVID-19 has dramatically reduced the number of deaths and cases. However, the incidence of thrombotic events and thrombocytopenia post-COVID-19 vaccination known as vaccine-induced thrombotic thrombocytopenia has raised safety concerns. This has led to an element of vaccine hesitancy. The exact mechanism for vaccine-induced thrombotic thrombocytopenia is unknown. Although the incidence of thrombosis associated with COVID-19 vaccination is low, it still requires attention, especially in older people, smokers, and people with preexisting comorbidities. This study aims to review the pathophysiology, diagnosis, and management of vaccine-induced thrombotic thrombocytopenia, to provide a concise and comprehensive update.

摘要

新型冠状病毒大流行给全球医疗系统和经济造成了损失。安全预防措施以及疫苗接种是最有效的预防措施。全球针对新冠病毒的疫苗接种计划显著减少了死亡人数和病例数。然而,新冠病毒疫苗接种后发生的血栓形成事件和血小板减少症,即疫苗诱导的血栓性血小板减少症,引发了安全担忧。这导致了一定程度的疫苗犹豫。疫苗诱导的血栓性血小板减少症的确切机制尚不清楚。尽管与新冠病毒疫苗接种相关的血栓形成发生率较低,但仍需关注,尤其是在老年人、吸烟者和已有合并症的人群中。本研究旨在综述疫苗诱导的血栓性血小板减少症的病理生理学、诊断和管理,以提供简洁而全面的最新信息。

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