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新型冠状病毒肺炎mRNA疫苗接种后的血栓形成:病例系列

Thrombosis Development After mRNA COVID-19 Vaccine Administration: A Case Series.

作者信息

Bekal Sundeep, Husari George, Okura Marcel, Huang Charity A, Bukari Mohammed S

机构信息

Internal Medicine, Community Hospitalist Physician Group, Fresno, USA.

Internal Medicine, University of California, San Francisco Fresno, Fresno, USA.

出版信息

Cureus. 2023 Jul 4;15(7):e41371. doi: 10.7759/cureus.41371. eCollection 2023 Jul.

Abstract

The coronavirus disease 2019 (COVID-19) pandemic remains one of the largest global health crises of the last century. Fortunately, COVID-19 vaccines have proven to be one of the most promising options in halting the progression of the pandemic. As more and more people receive COVID-19 vaccines, the medical community has learned a great deal about their efficacy and the occurrence of very rare adverse effects. While the number of thromboembolic events post-adenoviral vaccines has been well-documented in the medical literature, there has been limited information regarding thrombosis development after receiving a messenger RNA (mRNA)-based vaccine. This case series highlights four different patients who received an mRNA-based COVID-19 vaccine and subsequently developed venous thromboembolism. Therefore, we hope that after reviewing this article, physicians will be more aware of thrombosis-related developments following mRNA vaccine administration for COVID-19. Fortunately, with early diagnosis and prompt treatment, patients can still expect full recovery from any vaccine thrombosis-associated complications, and the benefits of receiving an mRNA-based COVID-19 vaccine still outweigh the risks of post-vaccination complications.

摘要

2019年冠状病毒病(COVID-19)大流行仍是上世纪以来最大的全球健康危机之一。幸运的是,事实证明,COVID-19疫苗是遏制大流行发展最有前景的选择之一。随着越来越多的人接种COVID-19疫苗,医学界对其疗效以及极其罕见的不良反应的发生情况有了很多了解。虽然腺病毒疫苗接种后血栓栓塞事件的数量在医学文献中有充分记载,但关于接种信使核糖核酸(mRNA)疫苗后血栓形成的信息有限。本病例系列重点介绍了四名接种了mRNA COVID-19疫苗并随后发生静脉血栓栓塞的不同患者。因此,我们希望医生在阅读本文后,能更加了解接种mRNA COVID-19疫苗后与血栓形成相关的情况。幸运的是,通过早期诊断和及时治疗,患者仍有望从任何与疫苗相关的血栓形成并发症中完全康复,接种mRNA COVID-19疫苗的益处仍然大于接种后并发症的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/834a/10400017/69e937df5807/cureus-0015-00000041371-i01.jpg

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