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一名新冠肺炎患者出现播散性血栓形成和心脏缺血的病例报告。

A Case Report of Disseminated Thromboses and Cardiac Ischemia in a Patient With COVID-19 Pneumonia.

作者信息

Guevara Nehemias A, Rakovica Loran, Pleitez Hector, Flores Chang Marjorie Mailing, Pino-Domenech Eduardo, Fulger Ilmana

机构信息

Internal Medicine, St. Barnabas Medical Center, Bronx, USA.

Internal Medicine, St. Barnabas Hospital Health System, Bronx, USA.

出版信息

Cureus. 2023 Jun 4;15(6):e39942. doi: 10.7759/cureus.39942. eCollection 2023 Jun.

Abstract

The novel coronavirus disease (COVID-19) pandemic caused by the SARS-CoV-2 virus started in December 2019 in the city of Wuhan, in China's Hubei province. This virus quickly spread worldwide, and on March 11, 2020, it was declared a pandemic. Thrombosis, as a hallmark of severe disease, was recognized early as a cause of death; however, the exact pathophysiological mechanism is still not fully understood. We are reporting the case of a 46-year-old patient who presented with multiple arterial thromboses in the setting of an acute COVID-19 infection requiring systemic thrombolytic therapy and thrombectomy.

摘要

由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起的新型冠状病毒病(COVID-19)大流行于2019年12月在中国湖北省武汉市爆发。这种病毒迅速在全球传播,并于2020年3月11日被宣布为大流行。血栓形成作为重症疾病的一个标志,很早就被确认为死亡原因;然而,确切的病理生理机制仍未完全明确。我们报告一例46岁患者,在急性COVID-19感染背景下出现多处动脉血栓形成,需要进行全身溶栓治疗和血栓切除术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/357b/10319424/e961c247b873/cureus-0015-00000039942-i01.jpg

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