作为COVID-19患者的并发症的直肠血瘤:临床和成像发现
Emre Emekli1, Mesut Yıldırım1, Mustafa H Türkkanı2
1Radiology, Etimesgut Şehit Sait Ertürk State Hospital, Ankara, TUR.
正膜血瘤 (RSH) 越来越多地在服用抗凝药的COVID-19患者中被诊断出,女性性别,年龄较大和严重疾病是风险因素. 建议对急性腹痛进行超声波早期诊断.
科学领域:
- 内部医学 内部医学
- 放射学 放射学是一门学科.
- 传染性疾病 传染性疾病
背景情况:
- COVID-19 治疗经常涉及抗凝固剂.
- 直肠血瘤 (RSH) 是抗凝剂治疗的潜在并发症.
- 在COVID-19患者中RSH的发生率和特征需要进行调查.
研究的目的:
- 为了确定住院COVID-19患者RSH的频率.
- 分析与RSH相关的临床和成像发现.
- 在这个患者队列中评估RSH的预后.
主要方法:
- 对接受抗凝血剂的9,876名COVID-19患者的回顾性分析.
- 数据收集包括人口统计,并发症,实验室值,RSH症状,治疗,成像和结果.
- 通过超声波 (USG) 或计算机断层扫描 (CT) 确认了RSH诊断.
主要成果:
- 12名患者 (0.12%) 被诊断出RSH.
- 大多数患者的凝血参数正常;平均住院时间为12天.
- 超声波诊断了10名患者的RSH;CT在两个.
结论:
- 在COVID-19中增加抗凝剂的使用与更高的RSH诊断率和更差的结果相关.
- 造成RSH的危险因素包括女性性别,晚年,严重的COVID-19和升高的d-二次数.
- 在COVID-19患有急性腹痛的患者中考虑RSH;优先考虑USG进行诊断.
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