PDF(Pubmed)
Abstract：
The recent coronavirus disease 2019 (COVID-19) pandemic has worse medical consequences, especially when affecting people with comorbidities such as diabetes, lung disease, hypertension, burn and trauma. The pathophysiology of COVID-19 infection includes thromboembolic events that were described in previous studies as a risk of venous thromboembolism (VTE). This risk is higher in burn patients, especially in the electrical type, which is generally attributed to their hypercoagulable state. This article reviews a detailed history, examination, and investigations of a 38-year-old male hospitalized burn patient with COVID-19 infection. Although on chemical thromboembolic prophylaxis, the patient developed extensive pulmonary embolism (PE) and, more interestingly, had atypical PE signs and symptoms. The present case aims to develop a special venous thromboembolism prophylaxis protocol between prophylactic and therapeutic dosages for COVID-19 burn patients.
摘要：
最近的2019年冠状病毒病(COVID-19)大流行带来了更糟糕的医疗后果，尤其是影响糖尿病等合并症患者时，肺部疾病,高血压,烧伤和外伤.COVID-19感染的病理生理学包括血栓栓塞事件，以前的研究将其描述为静脉血栓栓塞（VTE）的风险。烧伤患者的风险更高，尤其是在电气类型中，这通常归因于他们的高凝状态。这篇文章回顾了详细的历史，考试,并调查了一名38岁男性住院烧伤患者的COVID-19感染。尽管在化学血栓栓塞预防方面，患者出现广泛的肺栓塞（PE），更有趣的是，有不典型的PE体征和症状。本病例旨在为COVID-19烧伤患者制定预防和治疗剂量之间的特殊静脉血栓栓塞预防方案。
