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尽管早期接受了抗凝血治疗,但COVID-19患者的急性腹腔大动脉封闭:一个病例报告
Taichi Fujimori1, Ryuichi Ohta1, Chiaki Sano2
1Community Care, Unnan City Hospital, Unnan, JPN.
Cureus
|October 1, 2025
概括
在COVID-19患者中,一种罕见的完全腹部大动脉封闭病例突显了严重的凝血病. 早期的抗凝治疗失败了,强调了急性四肢缺血症中动脉血栓的快速干预.
科学领域:
- 心脏病学 心脏病学
- 血管外科 血管外科
- 传染性疾病 传染性疾病
背景情况:
- 冠状病毒疾病2019 (COVID-19) 与凝血病和血栓栓塞事件有关.
- 动脉血栓,虽然比静脉血栓较少,但可以表现为心肌梗塞,缺血性中风或急性四肢缺血.
- 完全腹腔大动脉闭塞是COVID-19的一个非常罕见的并发症.
研究的目的:
- 在COVID-19患者中报告一种罕见的完全腹腔大动脉封闭病例.
- 为了突出严重的COVID-19相关凝血病耐抗凝固药物耐药性的潜力.
- 强调COVID-19中动脉血栓的及时诊断和管理的重要性.
主要方法:
- 一个94岁的男性患有COVID-19的病例报告.
- 呈现急性四肢缺血症的症状和升高的D-二次体水平.
- 通过增强对比度的CT诊断证实了诊断,显示了腹部大动脉和腹腔动脉的血栓性阻塞.
主要成果:
- 患者在COVID-19疾病的第四天出现了完全的腹部大动脉封闭.
- 症状包括严重的背部和下肢疼痛,和感冒.
- 尽管预防性抗凝药,抗病毒和类固醇治疗,封闭进展.
结论:
- 与COVID-19相关的凝血病可以导致严重的动脉血栓形成,仅用抗凝药可能无法控制.
- 快速评估和干预对于动脉血栓形成至关重要,包括腹部大动脉封闭,呈现急性四肢缺血症症状.
- 这一案例强调了对COVID-19患者严重血栓性并发症的警的必要性.
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