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新冠肺炎患者在 ICU 长时间治疗后出现脑白质疏松症。

Beau's line in COVID-19 after a long ICU stay.

机构信息

Clinical Nutrition Unit. Complexo Hospital de Clinicas - Universidade Federal do Paraná.

Intensive Care Unit. Complexo Hospital de Clinicas - Universidade Federal do Paraná.

出版信息

Nutr Hosp. 2022 Aug 25;39(4):945-948. doi: 10.20960/nh.04131.

Abstract

The 2019 coronavirus disease pandemic (COVID-19) overloads hospitalizations in intensive care units (ICUs) around the world and its severe form is a complex disease that is still being understood. Due to the lack of direct evidence in patients with SARS-CoV-2 infection, guidelines for nutritional management have been based on evidence from critically ill patients in general. Thus, it is known that intense metabolic stress and malnutrition precede the appearance of Beau's lines. This is the case report of a 58-year-old man with the severe form of COVID-19 hospitalized for 33 days in the ICU and who presented the Beau´s lines after 4 months of discharge, even with the infusion of nutritional therapy following the current recommendations for the critical period of the disease.

摘要

2019 年冠状病毒病大流行(COVID-19)使全球重症监护病房(ICU)的住院人数不堪重负,其严重形式是一种仍在被认识的复杂疾病。由于缺乏 SARS-CoV-2 感染患者的直接证据,营养管理指南一直基于一般重症患者的证据。因此,人们知道,强烈的代谢应激和营养不良先于 Beau 线出现。这是一例 58 岁男性 COVID-19 重症患者的病例报告,他在 ICU 住院 33 天,并在出院后 4 个月出现 Beau 线,尽管按照疾病关键时期的现行建议进行了营养治疗输液。

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