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COVID-19 阳性患者接受心脏手术:可能是缺氧-溶血-炎症反应三联征的一种表现。

COVID-19 Positive Cohort Undergoing Cardiac Surgery: A Possible Un(3H)oly Trinity of Hypoxia-Hemolysis-Hyperinflammation.

机构信息

Department of Cardiac Anaesthesia, Atal Bihari Vajpayee Institute of Medical Sciences (ABVIMS) and Dr. Ram Manohar Lohia Hospital, Baba Kharak Singh Marg, New Delhi, India.

Department of Anaesthesia, Atal Bihari Vajpayee Institute of Medical Sciences (ABVIMS) and Dr. Ram Manohar Lohia Hospital, Baba Kharak Singh Marg, New Delhi, India.

出版信息

Braz J Cardiovasc Surg. 2022 Aug 16;37(4):587-590. doi: 10.21470/1678-9741-2021-0077.

Abstract

While the fraternity continues to ponder on the mechanisms by which coronavirus disease (COVID-19) positivity affects the outcome of cardiac surgical subset, we put forth a 3H (Hypoxia-Hemolysis-Hyperinflammation) trilogy aimed at elucidating the liaison between cardiopulmonary bypass (commonly employed for cardiac surgical conduct) and COVID-19 infection. A sound comprehension of the same can doubtlessly assist the perioperative team in staging a well-directed pathophysiology-driven management approach.

摘要

虽然兄弟会仍在思考冠状病毒病 (COVID-19) 阳性如何影响心脏外科亚组的结果的机制,但我们提出了一个 3H(缺氧-溶血-高度炎症)三部曲,旨在阐明体外循环(常用于心脏外科手术)与 COVID-19 感染之间的联系。对其的充分理解无疑可以帮助围手术期团队制定出一种针对病理生理学的有针对性的管理方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7349/9423808/e115ea21514e/rbccv-37-04-0587-g01.jpg

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