肠系膜血管疾病的单中心病例系列发生在新冠疫情的第一个月。
Monocentric case-series of mesenteric vascular disease occurred in the first month of the COVID-19 pandemic.
作者信息
Di Lella Daniela, Petrone Giuseppe, Martelli Eugenio, Vigliotti Rossella Chiara, Vigliotti Gennaro
机构信息
Division of Vascular Surgery, Del Mare Hospital, Via Enrico Russo, 80147 Naples, Italy.
Division of Vascular Surgery, Department of Cardiovascular Sciences, S. Anna and S. Sebastiano Hospital, Caserta, Italy. Saint Camillus International University of Health Sciences, Rome, Italy.
出版信息
Ann Vasc Surg Brief Rep Innov. 2021 Sep;1(1):100004. doi: 10.1016/j.avsurg.2021.100004. Epub 2021 Oct 11.
OBJECTIVES
we describe Coronavirus Disease (COVID-19) patients also manifesting gastro-intestinal symptoms.
METHODS
five women, between the ages of 32 and 82 years old, were admitted for acute abdomen, and received a nasopharyngeal swab for COVID-19 screening, lab test analysis, and contrast thoraco-abdominal CT-scan. All presented leukocytosis, different localizations of visceral vessels thrombosis and ischemia, and COVID-19.
RESULTS
emergency laparotomy was accepted by all but 1, who died after 5 days. Postoperatively, 1 died of multi-organ failure, 3 were discharged home after 14, 8 and 10 days respectively, under anti-platelet and anticoagulation treatment.
CONCLUSIONS
in COVID-19 patients with acute abdomen, abdominal contrast CT-scans should be systematically extended to the thorax to detect visceral COVID-19 initial pulmonary signs. Emergency laparotomy and visceral arteries thrombectomy could be necessary.
目的
我们描述了同时表现出胃肠道症状的冠状病毒病（COVID-19）患者。
方法
5名年龄在32至82岁之间的女性因急腹症入院，接受了用于COVID-19筛查的鼻咽拭子检查、实验室检查分析以及胸部和腹部增强CT扫描。所有患者均表现出白细胞增多、内脏血管血栓形成和缺血的不同部位以及COVID-19。
结果
除1人外，所有人均接受了急诊剖腹手术，该患者在5天后死亡。术后，1人死于多器官功能衰竭，3人分别在接受抗血小板和抗凝治疗14天、8天和10天后出院回家。
结论
对于患有急腹症的COVID-19患者，腹部增强CT扫描应系统地扩展至胸部，以检测内脏COVID-19的初始肺部体征。急诊剖腹手术和内脏动脉血栓切除术可能是必要的。
Zotero 插件