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重症新型冠状病毒肺炎(Covid-19)及使用抗凝剂后出现的急性腹膜后血肿

Acute retroperitoneal hematoma following severe Covid-19 and the use of anticoagulants.

作者信息

Marzban-Rad Saeid, Bahmani Sahar, Kazemi Amenehsadat, Taheri Hamid Reza

机构信息

Department of Surgery, Imam-Reza Hospital, Aja University of Tehran Medical Sciences, Tehran, Iran.

Zist Takhmir Pharmaceutical Company, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Ann Med Surg (Lond). 2022 Jun;78:103909. doi: 10.1016/j.amsu.2022.103909. Epub 2022 Jun 7.

Abstract

INTRODUCTION

and Importance: Severe COVID19 patients under anticoagulant therapy are at the risk of developing hematoma.

CASE PRESENTATION

We present case of 11 COVID19 who were presented with localized skin ecchymosis lesions in different areas of the body and retroperitoneal hematoma in the posterior wall of the abdomen and chest.

CLINICAL DISCUSSION

Cases of hematoma with severe COVID19 patients under anticoagulant therapy are reported in several case studies, particularly in geriatric population with the previous history of blood and/or cardiac disorders.

CONCLUSION

These patients should be carefully monitored for hematomas by skilled nurse and practitioner and timely treated and monitored.

摘要

引言

及重要性:接受抗凝治疗的重症新冠病毒疾病(COVID-19)患者有发生血肿的风险。

病例报告

我们报告了11例COVID-19患者的病例,这些患者在身体不同部位出现局部皮肤瘀斑病变,以及腹部和胸部后壁的腹膜后血肿。

临床讨论

在一些病例研究中报告了接受抗凝治疗的重症COVID-19患者发生血肿的病例,特别是在有血液和/或心脏疾病既往史的老年人群中。

结论

这些患者应由熟练的护士和医生仔细监测是否有血肿,并及时进行治疗和监测。

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本文引用的文献

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Can l-carnitine reduce post-COVID-19 fatigue?左旋肉碱能减轻新冠后遗症疲劳吗?
Ann Med Surg (Lond). 2022 Jan;73:103145. doi: 10.1016/j.amsu.2021.103145. Epub 2021 Dec 13.
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Does COVID19 activates previous chronic pain? A case series.新冠病毒是否会引发既往慢性疼痛?一项病例系列研究。
Ann Med Surg (Lond). 2021 Jan;61:169-171. doi: 10.1016/j.amsu.2020.12.045. Epub 2020 Dec 31.

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