COVID-19患者急性肾下腹主动脉阻塞1例。

IF 1.5 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Annals of Saudi Medicine Pub Date : 2021-11-01 Epub Date: 2021-12-02 DOI:10.5144/0256-4947.2021.392
Rafet Yarımoglu, Saliha Yarımoglu, Hayati Tastan, Halil Ibrahim Erkengel
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引用次数: 1

摘要

在感染COVID-19的患者中观察到高发生率的血栓性并发症。这些并发症与血液高凝性增加有关,可引起静脉和动脉血栓形成。我们报告一例60岁男性COVID-19肺炎和肾下腹主动脉血栓闭塞在入院时。CT扫描显示肺部呈疯狂铺路状,与COVID-19相符。CT血管造影证实临床怀疑主动脉血栓形成。几小时后进行了栓子切除术。在手术结束时,患者被送往重症监护病房,同时插管。患者病情恶化,发展为严重肾衰竭,并于入院后第1天死亡。CT扫描是诊断COVID-19所必需的,CT血管造影可用于诊断血栓事件。需要注意的是,新冠肺炎住院患者不仅可能出现动脉血栓形成,而且在入院时也可能出现动脉血栓形成。已发表的类似案例:
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Acute infrarenal abdominal aortic occlusion in a patient with COVID-19.

Acute infrarenal abdominal aortic occlusion in a patient with COVID-19.

Acute infrarenal abdominal aortic occlusion in a patient with COVID-19.

Acute infrarenal abdominal aortic occlusion in a patient with COVID-19.

A high rate of thrombotic complications have been observed in patients infected with COVID-19. These complications are related to increased blood hypercoagulabity, which can cause both venous and arterial thrombosis. We report a case of a 60-year-old man with COVID-19 pneumonia and thrombotic occlusion of the infrarenal abdominal aorta at the time of admission to the hospital. A CT scan showed a crazy-paving pattern in the lungs, consistent with COVID-19. A clinical suspicion of aortic thrombosis was confirmed by CT angiography. Embolectomy was undertaken a few hours later. At the end of the procedure, the patient was taken to the intensive care unit while intubated. The patient then worsened, developing severe renal failure, and died on day 1 after admission to the hospital. A CT scan, which is necessary for diagnosis of COVID-19, and a CT angiography, can be used to diagnose thrombotic events. It should be kept in mind that arterial thrombosis can be present not only in hospitalized COVID-19 patients but also at the time of admission. SIMILAR CASES PUBLSHED: 1.

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来源期刊
Annals of Saudi Medicine
Annals of Saudi Medicine 医学-医学:内科
CiteScore
2.80
自引率
0.00%
发文量
44
审稿时长
4-8 weeks
期刊介绍: The Annals of Saudi Medicine (ASM) is published bimonthly by King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia. We publish scientific reports of clinical interest in English. All submissions are subject to peer review by the editorial board and by reviewers in appropriate specialties. The journal will consider for publication manuscripts from any part of the world, but particularly reports that would be of interest to readers in the Middle East or other parts of Asia and Africa. Please go to the Author Resource Center for additional information.
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