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新冠病毒感染中支气管动脉栓塞术治疗大量咯血

Massive Haemoptysis Treated with Bronchial Artery Embolisation in COVID-19 Infection.

作者信息

Mejri Islam, Boubaker Nouha, Znegui Tasnim, Daboussi Selsabil, Aichaouia Chiraz, Mhamdi Samira, Moatemri Zied

机构信息

Pneumology Department, Military Hospital, Tunis, Tunisia.

出版信息

Eur J Case Rep Intern Med. 2022 Aug 1;9(8):003475. doi: 10.12890/2022_003475. eCollection 2022.

DOI:10.12890/2022_003475
PMID:36093306
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9451510/
Abstract

BACKGROUND

Massive haemoptysis is a rare symptom ofcoronavirus disease 2019 (COVID-19). Management can be very challenging due to the lack of clear recommendations.

CASE DESCRIPTION

We report a case of massive recurrent haemoptysis in a young patient who tested positive for COVID-19 with successful management using endovascular embolization.

DISCUSSION

Life-threatening massive haemoptysis has rarely been reported as the only manifestation of COVID-19. Embolisation was the therapeutic option chosen to manage this emergency.

LEARNING POINTS

Haemoptysis is a rare atypical presentation that can reveal COVID-19, highlighting the complexity of its pathogenesis.Atypical manifestations should raise suspicion for COVID-19.In this patient with COVID-19, life-threatening massive haemoptysis was successfully treated with endovascular embolisation.

摘要

背景

大咯血是2019冠状病毒病(COVID-19)的一种罕见症状。由于缺乏明确的推荐意见,其治疗可能极具挑战性。

病例描述

我们报告一例年轻患者反复发生大咯血,该患者COVID-19检测呈阳性,通过血管内栓塞成功治疗。

讨论

危及生命的大咯血作为COVID-19的唯一表现鲜有报道。栓塞是用于处理这一紧急情况的治疗选择。

经验教训

咯血是一种可揭示COVID-19的罕见非典型表现,凸显了其发病机制的复杂性。非典型表现应引起对COVID-19的怀疑。在该COVID-19患者中,危及生命的大咯血通过血管内栓塞成功治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68e6/9451510/1c2b5a0d9da4/3475_Fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68e6/9451510/d9584895f327/3475_Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68e6/9451510/3385fa259c29/3475_Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68e6/9451510/1c2b5a0d9da4/3475_Fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68e6/9451510/d9584895f327/3475_Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68e6/9451510/3385fa259c29/3475_Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68e6/9451510/1c2b5a0d9da4/3475_Fig3.jpg

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本文引用的文献

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Massive hemoptysis two months after an otherwise mild SARS-CoV-2 disease (COVID-19) treated with bronchial artery embolization - A case report.经支气管动脉栓塞治疗的轻度新型冠状病毒2型疾病(COVID-19)两个月后出现大量咯血——一例病例报告
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Endovascular management of massive hemoptysis due to covid-19 related pulmonary artery pseudoaneurysm: A rare entity.新冠病毒相关肺动脉假性动脉瘤所致大量咯血的血管内治疗:一种罕见情况。
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Case Series of COVID-19 Presenting with Massive Hemoptysis.
以大量咯血为表现的新型冠状病毒肺炎病例系列
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Haemoptysis as the first presentation of COVID-19: a case report.咯血为 COVID-19 的首发表现:1 例报告。
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Epidemiological and clinical characteristics of 1663 hospitalized patients infected with COVID-19 in Wuhan, China: a single-center experience.中国武汉 1663 例 COVID-19 住院患者的流行病学和临床特征:一项单中心经验。
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Postmortem examination of COVID-19 patients reveals diffuse alveolar damage with severe capillary congestion and variegated findings in lungs and other organs suggesting vascular dysfunction.对新冠病毒疾病(COVID-19)患者的尸检显示,肺部出现弥漫性肺泡损伤,伴有严重的毛细血管充血,肺部及其他器官呈现出多样化的表现,提示存在血管功能障碍。
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COVID-19 pneumonia with hemoptysis: Acute segmental pulmonary emboli associated with novel coronavirus infection.COVID-19 合并咯血性肺炎:新型冠状病毒感染相关急性节段性肺栓塞。
Am J Emerg Med. 2020 Jul;38(7):1544.e1-1544.e3. doi: 10.1016/j.ajem.2020.04.011. Epub 2020 Apr 8.
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Acute pulmonary embolism and COVID-19 pneumonia: a random association?急性肺栓塞与新型冠状病毒肺炎:一种随机关联?
Eur Heart J. 2020 May 14;41(19):1858. doi: 10.1093/eurheartj/ehaa254.
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Clinical, laboratory and imaging features of COVID-19: A systematic review and meta-analysis.新型冠状病毒肺炎的临床、实验室和影像学特征:系统评价和荟萃分析。
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2019 Novel Coronavirus (COVID-19) Pneumonia with Hemoptysis as the Initial Symptom: CT and Clinical Features.以咯血为首发症状的 2019 新型冠状病毒(COVID-19)肺炎:CT 与临床特征。
Korean J Radiol. 2020 May;21(5):537-540. doi: 10.3348/kjr.2020.0181. Epub 2020 Mar 13.