[COVID-19中患有肠系膜血栓的老年和高龄患者止血功能受损]。

Q4 Medicine
R V Kadnikov, M V Vasilchenko, A S Rukavishnikov
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引用次数: 0

摘要

在冠状病毒感染的治疗过程中,不仅要了解疾病的病程,还要了解人体内发生了什么,尤其是循环系统,即哪些疾病会导致病情恶化和进一步的并发症。COVID-19 中的止血障碍在该病的病因和临床表现中起着重要作用。要确定检查的适应症,必须具备识别血栓并发症发病因素和危险人群的能力、动态解读外周血参数和凝血图的能力、了解可能出现的止血障碍的诊断标准(如 DIC 综合征、败血症相关凝血病、抗磷脂、嗜血细胞增多症和高凝综合征)。临床合理治疗(包括抗凝剂和血液成分)的差异化处方非常重要,这决定了 COVID-19 患者治疗和预后的复杂性。本文是对过去几年中有关 COVID-19 肠系膜血栓形成的老年和高龄患者止血障碍这一主题的文献综述。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Impaired hemostasis in elderly and senile patients with mesenteric thrombosis in COVID-19.]

In the treatment of coronavirus infections, it is important not only to understand the course of the disease, but also to understand what is happening in the human body, especially in the circulatory system, that is, which disorders lead to deterioration and further complications. Hemostasis disorder in COVID-19 plays an important role in the etiology and clinical manifestations of the disease. The ability to identify factors and risk groups for the development of thrombotic complications, the ability to dynamically interpret peripheral blood parameters and coagulograms, knowledge of diagnostic criteria for possible hemostasis disorders (for example, DIC syndrome, sepsis-associated coagulopathy, antiphospholipids, hemophagocytosis and hypercoagulation syndrome) are necessary to determine the indications for the test. Differentiated prescribing of clinically justified therapy (including anticoagulants and blood components) is important, which determines the complexity of treatment and prognosis for patients with COVID-19. This article is a review of the literature on the topic of hemostasis disorders in elderly and senile patients with mesenteric thrombosis in COVID 19 over the past few years.

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CiteScore
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