COVID-19 pneumonia with hemoptysis: Acute segmental pulmonary emboli associated with novel coronavirus infection
COVID-19 pneumonia with hemoptysis: Acute segmental pulmonary emboli associated with novel coronavirus infection
复制标题
DOI：
10.1016/j.ajem.2020.04.011
复制
发表时间：
2020-07-01
影响因子：
3.6
通讯作者：
Auten, Jonathan
中科院分区：
文献类型：
--
作者：
Casey, Kyla;Iteen, Alexander;Auten, Jonathan
最近来自中国武汉的回顾性研究表明，2019 年新型冠状病毒病 (COVID-19) 可能与高凝状态和静脉血栓栓塞风险增加有关。 COVID-19 相关的急性呼吸窘迫综合征 (ARDS) 和 COVID-19 并发肺栓塞的体征和症状的重叠给急诊科医生对已经有肾功能损害风险的患者的诊断带来了挑战。然而，仅识别 COVID-19 的非典型特征可能有助于在这些患者中明智地使用计算机断层扫描血管造影。大约 13% 的肺栓塞病例出现咯血，而在 COVID-19 感染中很少有报道。此外，心电图 (EKG) 上出现的右心劳损是肺栓塞的一种充分描述的临床表现，在 COVID-19 感染中并不常见。 (C) 2020 由爱思唯尔公司出版
Recent retrospective studies from Wuhan, China suggest Novel Coronavirus Disease 2019 (COVID-19) may be associated with a hypercoagulable state and increased risk for venous thromboembolism. The overlap in the signs and symptoms of COVID-19 associated Acute Respiratory Distress Syndrome (ARDS) and COVID-19 with concurrent pulmonary embolism creates a diagnostic challenge for emergency medicine physicians in patients already at risk for renal impairment. However, identifying features atypical for COVID-19 alone may play a role in the judicious use of Computed Tomography Angiography among these patients. Hemoptysis is seen in roughly 13% of pulmonary embolism cases and infrequently reported among COVID-19 infections. Additionally, the presence of right heart strain on electrocardiography (EKG) is a well described clinical presentations of pulmonary embolism not reported commonly with COVID-19 infections. (C) 2020 Published by Elsevier Inc.