重症新型冠状病毒肺炎并发急性肺栓塞1例报告并文献复习

Severe COVID-19 complicated with pulmonary embolism:a case report and literature review

目的:通过报道1例新型冠状病毒肺炎(COVID-19)并发急性肺栓塞患者的诊疗过程及文献复习,分析探讨重症COVID-19并发肺栓塞的诊断和治疗要点,总结经验教训。方法:回顾性分析1例重症COVID-19并发急性肺栓塞的诊断、治疗、结局以及相关文献复习。结果:重症COVID-19并发肺栓塞患者快速诊断后立即给予溶栓治疗成功救治,但重症肺炎持续进展带来的多器官功能衰竭导致最终预后不佳。结论:COVID-19高龄重症患者并发急性肺栓塞预后差,必要时应及时溶栓治疗。

Objective: To report the diagnosis and treatment process of a case of coronavirus disease 2019(COVID-19) complicated with acute pulmonary embolism.Methods: The diagnosis, treatment, outcome of a severe COVID-19 patient complicated with acute pulmonary embolism were retrospectively analyzed, the related literature were reviewed.Results: The pulmonary embolism were diagnosed quickly and given successful treatment with thrombolytic therapy immediately. However, multiple organ failure caused by the continuous progression of severe pneumonia resulted in a poor final prognosis.Conclusion: The prognosis of COVID-19 elderly patients with acute pulmonary embolism is poor, and thrombolytic therapy should be performed in time if necessary.