在SARS-CoV-2感染后的胃缺血
Woo Yong Lee1, Byung Woo Yoon2
1Department of Surgery, Inje University Haeundae Paik Hospital, 875 Haeundae-ro, Haeundae-gu, Busan 48108, Republic of Korea.
胃缺血是一种罕见的疾病,可在严重急性呼吸系统综合征冠状病毒-2 (SARS-CoV-2) 感染后发生. 医生应该考虑SARS-CoV-2患者的胃缺血严重的腹痛,选择保守的护理.
科学领域:
- 胃肠病学 胃肠病学
- 传染性疾病 传染性疾病
- 血管外科 血管外科
背景情况:
- 胃缺血是罕见的,因为胃的丰富的附带循环.
- 常见的病因包括血管缺陷 (低血压,血管炎,血栓栓塞) 和机械因素 (卷积,膨胀).
研究的目的:
- 在SARS-CoV-2感染后的患者中报告胃缺血和胃肺炎的第一个病例.
- 要突出SARS-CoV-2的潜在胃肠道并发症.
- 为了告知SARS-CoV-2患者腹痛的临床怀疑和管理策略.
主要方法:
- 一个65岁的男性患者的病例报告.
- 通过腹腔镜成像证实了诊断.
- 在SARS-CoV-2治疗后26天出现严重腹痛的患者.
主要成果:
- 患者患有胃缺血和随后的胃肺炎.
- 腹腔镜成像显示了胃损伤的程度.
- 这种情况发生在SARS-CoV-2初始治疗26天后.
结论:
- 医生应考虑SARS-CoV-2感染患者的胃缺血出现严重的腹痛.
- 建议在怀疑SARS-CoV-2相关的胃缺血症的情况下进行保守的医疗管理,而不是进行外科手术.
- 这一案例强调了SARS-CoV-2感染的多样化和潜在严重的胃肠道表现.
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