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病例报告:高层中枢动脉血管炎导致COVID-19感染后动脉瘤
Minju Kim1, Jeong Hee Han1, Jung Bum Choi1
1Department of Surgery, Biomedical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Republic of Korea.
Frontiers in surgery
|September 5, 2024
概括
我们介绍了一个在COVID-19感染后出现上层中枢动脉 (SMA) 动脉炎和动脉瘤的病例. 在大流行期间,建议对疑似病毒性动脉炎进行及时的类固醇治疗.
科学领域:
- 血管外科 血管外科
- 传染性疾病 传染性疾病
- 放射学 放射学是一门学科.
背景情况:
- 动脉炎,动脉壁的炎症,在COVID-19患者中尚不清楚.
- 有限的数据存在于与冠状病毒疾病2019 (COVID-19) 相关的动脉炎.
研究的目的:
- 在COVID-19感染后报告上层中枢动脉 (SMA) 动脉炎和随后动脉瘤形成的病例.
- 突出COVID-19在动脉炎中的潜在作用以及及时使用类固醇治疗的重要性.
主要方法:
- 一名66岁的女性患者患有COVID-19后的腹痛,接受了CT扫描,显示了SMA动脉炎.
- 最初的抗菌治疗无效;发现了快速生长的SMA动脉瘤.
- 手术干预涉及SMA动脉瘤的开放插入旁路.
主要成果:
- 患者在COVID-19感染一个月后出现了5.7厘米的SMA动脉瘤.
- 手术样本显示没有细菌殖民,排除了细菌性动脉炎.
- 患者在绕道手术后成功康复,没有并发症.
结论:
- COVID-19可能与动脉炎和动脉瘤的发展有关.
- 在没有细菌感染的情况下,在COVID-19大流行期间应考虑高剂量类固醇治疗动脉炎.
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