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[新型冠状病毒肺炎患者肺血栓栓塞症的发病率]

[Incidence of pulmonary thromboembolism in patients with COVID-19 pneumonia].

作者信息

Felipe-Cardoso Ethel Raquel, Coronel-Hernández Sadan, Álvarez-Ciaca Inés, Bustos-Vadillo Adriana, Sánchez-Cabrera Elisa

机构信息

Instituto Mexicano del Seguro Social, Hospital General de Zona No. 20 "La Margarita", Servicio de Imagenología. Puebla, Puebla, México.

Instituto Mexicano del Seguro Social, Unidad de Medicina Familiar No. 2, Servicio de Medicina Familiar. Puebla, Puebla, México.

出版信息

Rev Med Inst Mex Seguro Soc. 2025 Jan 3;63(1):e5752. doi: 10.5281/zenodo.14200009.

Abstract

BACKGROUND

COVID-19 disease is an infectious pathology which causes severe respiratory syndrome and it is caused by SARS-CoV-2. On the other hand, pulmonary thromboembolism is one of the most serious and insidious complications, although with a real incidence that is still unknown, especially in patients with COVID-19 pneumonia. Therefore, it is imperative to carry out research to know more information, as well as the relationship it could have with other comorbidities (the most frequent in our population) in order to establish early diagnosis and proper therapy.

OBJECTIVE

To determine the incidence of pulmonary thromboembolism by angiotomography in patients with COVID-19 pneumonia.

MATERIAL AND METHODS

An analytical, observational, longitudinal, single-center, retrospective and homodemic study was carried out. A total of 71 patients from a public hospital located in the city of Puebla, Mexico, were included.

RESULTS

It was determined a cumulative incidence of 0.09 of the patients studied. Male patients were the most affected, with an average age of 65 years. The trunk of the pulmonary artery was the most affected topographic site. Likewise, the most associated comorbidity was diabetes mellitus.

CONCLUSIONS

There was a similar incidence to that obtained in studies carried out in other parts of the world.

摘要

背景

COVID-19疾病是一种导致严重呼吸综合征的传染性病理疾病,由SARS-CoV-2引起。另一方面,肺血栓栓塞是最严重和最隐匿的并发症之一,尽管其实际发病率仍然未知,尤其是在COVID-19肺炎患者中。因此,开展研究以了解更多信息以及它与其他合并症(在我们的人群中最常见)的关系,对于建立早期诊断和适当治疗至关重要。

目的

确定COVID-19肺炎患者通过血管造影术诊断肺血栓栓塞的发病率。

材料与方法

开展了一项分析性、观察性、纵向、单中心、回顾性和同地区的研究。纳入了墨西哥普埃布拉市一家公立医院的71例患者。

结果

在所研究的患者中确定累积发病率为0.09。男性患者受影响最大,平均年龄为65岁。肺动脉主干是受影响最严重的部位。同样,最相关的合并症是糖尿病。

结论

该发病率与世界其他地区开展的研究结果相似。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee9f/12064279/6eb8ebd626f5/04435117-63-1-e5752-c001.jpg

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