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COVID-19 合并肺栓塞的罕见表现。

A Rare Presentation of COVID-19 with Pulmonary Embolism.

机构信息

Department of Pulmonary Medicine, Faculty of Medicine, Süleyman Demirel University, Isparta - Turquia.

Department of Radiology, Faculty of Medicine, Süleyman Demirel University, Isparta - Turquia.

出版信息

Arq Bras Cardiol. 2022 Feb;118(2):525-529. doi: 10.36660/abc.20210350.

DOI:10.36660/abc.20210350
PMID:35262591
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8856685/
Abstract

Coronavirus disease 2019 (COVID-19) has been reported in almost every country in the world since December 2019. Infection with SARS-CoV-2 is often asymptomatic or with mild symptoms, but it may also lead to hypoxia, a hyperinflammatory state, and coagulopathy. The abnormal coagulation parameters are associated with thrombotic complications, including pulmonary embolism in COVID-19, but little is known about the mechanisms. The similarity of initial symptoms of both diseases can also be confusing, therefore the physicians should be aware of the potential for concurrent conditions. Herein, we present a case who did not have ground-glass opacities in the lungs, yet presented with pulmonary embolism and pleural effusions in association with COVID-19 infection.

摘要

自 2019 年 12 月以来,几乎世界上每个国家都报告了 2019 年冠状病毒病(COVID-19)。感染 SARS-CoV-2 通常无症状或症状轻微,但也可能导致低氧血症、过度炎症状态和凝血功能障碍。异常的凝血参数与血栓并发症有关,包括 COVID-19 中的肺栓塞,但对其机制知之甚少。两种疾病的初始症状相似也可能会造成混淆,因此医生应该意识到同时存在的可能性。在此,我们报告了一例 COVID-19 感染患者没有肺部磨玻璃影,但出现了肺栓塞和胸腔积液。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c8f/8856685/f311be6e22f0/0066-782X-abc-118-02-0525-gf03-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c8f/8856685/f03530ec7199/0066-782X-abc-118-02-0525-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c8f/8856685/4d8035095c3e/0066-782X-abc-118-02-0525-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c8f/8856685/59f4067e293e/0066-782X-abc-118-02-0525-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c8f/8856685/6a50da4ab913/0066-782X-abc-118-02-0525-gf01-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c8f/8856685/e76879423d3c/0066-782X-abc-118-02-0525-gf02-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c8f/8856685/f311be6e22f0/0066-782X-abc-118-02-0525-gf03-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c8f/8856685/f03530ec7199/0066-782X-abc-118-02-0525-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c8f/8856685/4d8035095c3e/0066-782X-abc-118-02-0525-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c8f/8856685/59f4067e293e/0066-782X-abc-118-02-0525-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c8f/8856685/6a50da4ab913/0066-782X-abc-118-02-0525-gf01-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c8f/8856685/e76879423d3c/0066-782X-abc-118-02-0525-gf02-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c8f/8856685/f311be6e22f0/0066-782X-abc-118-02-0525-gf03-en.jpg

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本文引用的文献

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The incidence of pleural effusion in COVID-19 pneumonia: State-of-the-art review.COVID-19 肺炎合并胸腔积液的发生率:最新综述。
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新型冠状病毒肺炎相关肺栓塞及深静脉血栓形成的系统评价与荟萃分析。
Radiology. 2021 Feb;298(2):E70-E80. doi: 10.1148/radiol.2020203557. Epub 2020 Dec 15.
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Pulmonary embolism in COVID-19 patients: prevalence, predictors and clinical outcome.COVID-19 患者中的肺栓塞:患病率、预测因素和临床结局。
Thromb Res. 2021 Feb;198:34-39. doi: 10.1016/j.thromres.2020.11.017. Epub 2020 Nov 17.
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Pulmonary embolism in patients with COVID-19: characteristics and outcomes in the Cardio-COVID Italy multicenter study.COVID-19 患者中的肺栓塞:Cardio-COVID 意大利多中心研究中的特征和结局。
Clin Res Cardiol. 2021 Jul;110(7):1020-1028. doi: 10.1007/s00392-020-01766-y. Epub 2020 Nov 3.
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COVID-19 and Pulmonary Embolism: Not a Coincidence.新型冠状病毒肺炎与肺栓塞:并非巧合。
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Diagnosis, Prevention, and Treatment of Thromboembolic Complications in COVID-19: Report of the National Institute for Public Health of the Netherlands.新型冠状病毒肺炎相关血栓栓塞性并发症的诊断、预防和治疗:荷兰国家公共卫生研究所报告。
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