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.
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.
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。
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