1例超高龄新型冠状病毒肺炎并发急性心力衰竭的抢救经验及文献回顾

黄惠风; 虞敏; 周任

doi:10.16766/j.cnki.issn.1674-4152.002925

1例超高龄新型冠状病毒肺炎并发急性心力衰竭的抢救经验及文献回顾

doi: 10.16766/j.cnki.issn.1674-4152.002925

黄惠风¹,
虞敏²,
周任^3, ,

1.
上海市青浦区朱家角人民医院内科，上海 200017
2.
上海交通大学医学院附属第一人民医院心脏及大血管外科，上海 200080
3.
上海交通大学医学院附属瑞金医院上海血液学研究所，医学基因组学国家重点实验室，转化医学国家重大科技基础设施(上海)，上海 200025

详细信息

通讯作者:
周任，E-mail: 862722617@qq.com

中图分类号: R563.1 R541.6
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- 被引次数: 0
出版历程
- 收稿日期: 2022-06-02
- 网络出版日期: 2023-04-19

Treatment of coronavirus disease 2019 complicated with acute heart failure of a super-elderly patient: a case report and literature review

HUANG Huifeng¹,
YU Min²,
ZHOU Ren^{3
, ,}

1.
Department of Internal Medicine, Qingpu Zhujiajiao People' s Hospital, Shanghai 200017, China

摘要

摘要: 2022年春季新型冠状病毒Omicron变异株在上海爆发了大流行。合并各类基础疾病的老年患者疫苗接种率较低，是本次流行的主要易感人群，且易进展为危重症。因此救治老年危重患者成为目前临床诊疗新型冠状病毒肺炎的难点之一。本报道是1例超高龄新型冠状病毒肺炎患者, 病程由轻症进展为重症，并发急性心力衰竭、心源性休克。笔者结合文献回顾性分析其病因和临床特征，分享基层医院诊疗高龄新型冠状病毒肺炎危重症的经验与得失，为救治新型冠状病毒肺炎危重症合并心血管并发症提供参考依据。
- 新型冠状病毒肺炎 /
- 高龄 /
- 急性心力衰竭 /
- 心肌损伤
Abstract: In the spring of 2022, a pandemic outbreak of the Omicron variant of SARS-CoV-2 occurred in Shanghai. The vaccination rate is low among elderly patients with various chronic underlying diseases, making them susceptible and prone to critical illnesses. Therefore, the treatment of elderly patients has become one of the difficulties in the clinical management of coronavirus disease 2019. This paper reported a case of a super-elderly patient diagnosed with coronavirus disease 2019 complicated with acute heart failure, whose disease progressed from mild to severe. We analysed the reliable aetiology and clinical features of the case and shared the gains and losses in the treatment of elderly patients with severe coronavirus disease 2019 in a primary care hospital. We planned to provide an important experience for the treatment of patients with coronavirus disease 2019 combined with cardiovascular complications.
- Coronavirus disease 2019 /
- Super-elderly /
- Acute heart failure /
- Myocardial injury

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图 1 患者胸部肺窗CT影像结果

注：A~C为4月23日胸部CT；D~F为5月2日胸部CT；G~I为5月7日胸部CT。

Figure 1. Lung window CT images of the patient's chest

下载: 全尺寸图片幻灯片

图 2 患者5月2日休克发作时心电图

Figure 2. Electrocardiogram of the patient at the onset of shock on May 2

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图 3 患者实验室化验结果

注：A示体温及血细胞水平；B示cTnT及NT-proBNP水平；C示C反应蛋白、D-二聚体及肌酐水平；D示SARS-CoV-2核酸基因Ct值水平。

Figure 3. Laboratory test results of the patient

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参考文献(18)

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