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SARS-CoV-2 疫苗诱导的免疫性血栓性血小板减少症。

SARS-CoV-2 vaccine-induced immune thrombotic thrombocytopenia.

机构信息

Department of Hematology, Tianjin Medical University General Hospital, Tianjin 300052, China.

Department of Hematology, Tianjin Medical University General Hospital, Tianjin 300052, China.

出版信息

Thromb Res. 2022 Jan;209:75-79. doi: 10.1016/j.thromres.2021.12.002. Epub 2021 Dec 6.

Abstract

SARS-CoV-2 vaccines have been carefully developed and significantly alleviate the global pandemic. However, a rare but severe complication after vaccination of adenoviral vector vaccines has attracted worldwide attention. It is characterized by thrombosis at unusual sites (often cerebral or abdominal), thrombocytopenia, and the presence of antibodies against platelet factor 4 (PF4), termed vaccine-induced immune thrombotic thrombocytopenia (VITT). Its pathogenesis is similar to that of heparin-induced thrombocytopenia (HIT). VITT progresses rapidly and has a high mortality rate. Clinicians and the public should raise their vigilance to this disease so that accurate and timely treatment is provided.

摘要

SARS-CoV-2 疫苗经过精心研发,极大地缓解了全球大流行。然而,腺病毒载体疫苗接种后一种罕见但严重的并发症引起了全球关注。其特征是在不常见部位(常为脑或腹部)发生血栓形成、血小板减少和存在针对血小板因子 4(PF4)的抗体,称为疫苗诱导的免疫性血栓性血小板减少症(VITT)。其发病机制与肝素诱导的血小板减少症(HIT)相似。VITT 进展迅速,死亡率高。临床医生和公众应提高对此病的警惕,以便提供准确和及时的治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e19/8647389/9c950c4ff90f/gr1_lrg.jpg

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