1例患有伊文氏综合征并合并新型冠状病毒肺炎感染的产妇出现意外血小板减少症。
Unexpected Thrombocytopenia in a Parturient With Evans Syndrome Complicated by COVID-19 Infection.
作者信息
Fayed Mohamed, Jain Shuchi, Leonardi Nyla, Younger Joshua
机构信息
Anesthesiology, Pain Management and Perioperative Medicine, Henry Ford Health System, Detroit, USA.
Anesthesiology and Critical Care, Cleveland Clinic, Cleveland, USA.
出版信息
Cureus. 2022 Jul 28;14(7):e27409. doi: 10.7759/cureus.27409. eCollection 2022 Jul.
We report the case of a 23-year-old parturient who received epidural analgesia and was subsequently diagnosed with Evans syndrome (ES). The diagnosis was made after a complete blood count (CBC) resulted in severe anemia and a platelet count of less than 10K/µL. To further complicate this case, the patient developed post-delivery pleuritic chest pain and pulmonary emboli (PE), and a chest computed tomography (CT) scan showed bilateral ground-glass lung opacities. This prompted a COVID-19 testing and ultimately confirmed infection.
我们报告了一例23岁产妇的病例，该产妇接受了硬膜外镇痛，随后被诊断为伊文氏综合征（ES）。全血细胞计数（CBC）显示严重贫血且血小板计数低于10K/µL后，做出了该诊断。使该病例更加复杂的是，患者产后出现胸膜炎性胸痛和肺栓塞（PE），胸部计算机断层扫描（CT）显示双侧磨玻璃样肺混浊。这促使进行了新冠病毒检测并最终确诊感染。
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