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新型冠状病毒肺炎相关急性肠系膜缺血:病例报告及当前认识

Acute mesenteric ischemia in COVID-19: Case report and current understanding.

作者信息

Chandrakar Saurabh, Sangadala Priyanka, Gupta Megha, Kumar A Deepak, Agarwal Ankit

机构信息

Department of Anaesthesia and Critical Care. AIIMS Rishikesh, Uttarakhand, India. E-mail:

出版信息

Qatar Med J. 2022 Feb 28;2022(1):11. doi: 10.5339/qmj.2022.11. eCollection 2022.

DOI:10.5339/qmj.2022.11
PMID:35284298
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8886623/
Abstract

INTRODUCTION

Since the outbreak of coronavirus disease 2019 (COVID-19) in December 2019, various thrombotic complications have been frequently reported in patients with infection. Acute mesenteric ischemia (AMI) is a rare but life-threatening complication in this disease, which requires early recognition and prompt treatment.

CASE PRESENTATION

We report two cases of COVID-19-related AMI. Both patients underwent emergency laparotomy for small bowel ischemia. The first patient received prompt intervention and was discharged 5 days after surgery. The second patient presented late to the hospital and succumbed 72 h after surgery.

CONCLUSION

These two cases highlight the importance of high suspicion, early recognition, and prompt treatment in patients with abdominal symptoms related to COVID-19.

摘要

引言

自2019年12月冠状病毒病2019(COVID-19)爆发以来,感染患者中频繁出现各种血栓形成并发症。急性肠系膜缺血(AMI)是该疾病中一种罕见但危及生命的并发症,需要早期识别和及时治疗。

病例报告

我们报告两例与COVID-19相关的AMI病例。两名患者均因小肠缺血接受了急诊剖腹手术。第一名患者得到及时干预,术后5天出院。第二名患者入院较晚,术后72小时死亡。

结论

这两例病例凸显了对与COVID-19相关腹部症状患者保持高度怀疑、早期识别和及时治疗的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e9e/8886623/6ea23bd4abdb/qmj-2022-011-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e9e/8886623/cbbc92b1ec9b/qmj-2022-011-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e9e/8886623/6ea23bd4abdb/qmj-2022-011-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e9e/8886623/cbbc92b1ec9b/qmj-2022-011-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e9e/8886623/6ea23bd4abdb/qmj-2022-011-g002.jpg

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