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一名新冠肺炎患者的急性肢体缺血

Acute Limb Ischemia in a Patient With COVID-19 Pneumonia.

作者信息

Ali Nasir Shahbaz, Arif Anum, Shahid Mubasshar, Ahmed Yashfeen, Riaz Bismah, Sherwani Nawabzada Zeerak Farhat

机构信息

Internal Medicine, Combined Military Hospital, Lahore, PAK.

Vascular Surgery, Combined Military Hospital (CMH) Lahore Medical College, Lahore, PAK.

出版信息

Cureus. 2021 Oct 7;13(10):e18574. doi: 10.7759/cureus.18574. eCollection 2021 Oct.

Abstract

COVID-19, which is caused by the novel severe acute respiratory syndrome coronavirus (SARS-CoV-2), is known to cause a myriad of complications along with the typical lower respiratory tract involvement. One of the emerging complications is a hypercoagulable state leading to venous or arterial thromboembolism. These complications are more common in those presenting with a severe disease with significantly elevated inflammatory markers. Although co-morbid illnesses play a role in worsening such complications, yet they are not the main determinants as these complications also occur in those without any co-morbid illness. Here, we report a case of a 64-year-old male with severe COVID-19 pneumonia presenting with acute limb ischemia with a non-salvageable limb who required subsequent amputation of the affected limb.

摘要

新型冠状病毒肺炎(COVID-19)由新型严重急性呼吸综合征冠状病毒(SARS-CoV-2)引起,除了典型的下呼吸道受累外,还会引发多种并发症。其中一种新出现的并发症是高凝状态,可导致静脉或动脉血栓栓塞。这些并发症在患有严重疾病且炎症标志物显著升高的患者中更为常见。虽然合并症会使此类并发症恶化,但它们并非主要决定因素,因为这些并发症也会出现在没有任何合并症的患者身上。在此,我们报告一例64岁男性,患有严重的COVID-19肺炎,出现急性肢体缺血且肢体无法挽救,随后需要对受影响的肢体进行截肢。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b91c/8571996/7c761d0983d6/cureus-0013-00000018574-i01.jpg

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