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新冠病毒感染后由弥散性血管内凝血和/或抗凝治疗引起的慢性硬膜下血肿

Chronic Subdural Hematoma, Caused by Disseminated Intravascular Coagulation and/or Anticoagulation Therapy, after COVID-19.

作者信息

Nomura Yu, Naraoka Masato, Fujiwara Nozomi, Kinoshita Shouhei, Yanagiya Keita, Sasaki Takao, Watanabe Ryouta, Ueno Kouta, Shimamura Norihito

机构信息

Department of Neurosurgery, Hirosaki University School of Medicine, Hirosaki, Aomori, Japan.

出版信息

NMC Case Rep J. 2022 Jun 15;9:165-169. doi: 10.2176/jns-nmc.2021-0425. eCollection 2022.

DOI:10.2176/jns-nmc.2021-0425
PMID:35836493
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9239695/
Abstract

Chronic subdural hematoma (CSDH) typically develops in the supratentorial region in elderly patients. We treated a case of unilateral supratentorial and bilateral infratentorial CSDH, whereby the patient had a coronavirus disease 2019 (COVID-19) infection combined with disseminated intravascular coagulation 2 months earlier. The patient had not experienced any head trauma before the onset of the CSDH. The postoperative course was uneventful, and the patient experienced no neurological deficit. We propose that we should be aware not only of acute ischemic or hemorrhagic diseases after COVID-19 infection but also of chronic subdural hematoma caused by coagulopathy after a COVID-19 infection.

摘要

慢性硬膜下血肿（CSDH）通常发生于老年患者的幕上区域。我们治疗了一例单侧幕上及双侧幕下CSDH患者，该患者在两个月前感染了2019冠状病毒病（COVID-19）并合并弥散性血管内凝血。在CSDH发病前，该患者未经历过任何头部外伤。术后过程顺利，患者未出现神经功能缺损。我们建议，不仅要注意COVID-19感染后的急性缺血性或出血性疾病，还要注意COVID-19感染后由凝血病引起的慢性硬膜下血肿。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffa8/9239695/599e07226f0a/2188-4226-9-0165-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffa8/9239695/3b285e20ae15/2188-4226-9-0165-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffa8/9239695/599e07226f0a/2188-4226-9-0165-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffa8/9239695/3b285e20ae15/2188-4226-9-0165-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffa8/9239695/599e07226f0a/2188-4226-9-0165-g002.jpg

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引用本文的文献

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本文引用的文献

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Pulmonary embolism in patients with COVID-19 and value of D-dimer assessment: a meta-analysis.新型冠状病毒肺炎患者肺栓塞及 D-二聚体评估价值的 Meta 分析。
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新型冠状病毒肺炎相关自发性亚急性硬膜下血肿：两例报告
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COVID-19 and coagulation: bleeding and thrombotic manifestations of SARS-CoV-2 infection.COVID-19 和凝血：SARS-CoV-2 感染的出血和血栓形成表现。
Blood. 2020 Jul 23;136(4):489-500. doi: 10.1182/blood.2020006520.
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Heparin-Related Major Bleeding in Covid-19-Positive Patient: Perspective from the Outbreak.新冠病毒检测呈阳性患者的肝素相关严重出血：疫情视角
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Management of acute ischemic stroke in patients with COVID-19 infection: Report of an international panel.COVID-19 感染患者急性缺血性脑卒中的管理：国际专家组报告。
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