Inkomoko: igihe cyo gukusanya imiti yisi yose: 18 Nzeri 2021
Abenshi mu barwayi ba coronavirus pneumonia barwaye mu rugero kandi ntibakeneye ubufasha bwingingo muri ICU.Novel coronavirus pneumonia yakoreshejwe mu bushakashatsi bwakozwe na N Engl J Med muri Kanama 2021. Abashakashatsi bo muri Kanada, Amerika na Berezile basohoye ubuvanganzo bwa kera bw’Abashinwa bashakisha uburyo bwo kuvura imiti igabanya ubukana bwa heparin ku barwayi badakabije bafite umusonga mushya.
Amavu n'amavuko: umusonga wa coronavirus pneumonia ufitanye isano nurupfu nibibazo biterwa na trombose hamwe no gutwika.Abashakashatsi bavuze ko igitabo cyitwa coronavirus pneumonia gishobora kunoza ibisubizo by’abarwayi badashyirwa mu bitaro bafite umusonga mushya.
Uburyo: udushya twa coronavirus pneumonia (infashanyo itari iy'ingingo), isobanurwa nkurwego rudafite ubuvuzi bukomeye, yashizwe ku bushake ku bisobanuro 2 bifatika: heparin anticoagulation cyangwa prophylaxis ya trombus isanzwe muri uru rubanza rufunguye, ruhuza n'imiterere, rwinshi.Igisubizo cyibanze ni umubare wiminsi udashyigikiwe ningingo, wasuzumwe nigipimo gikurikirana cyahitanye urupfu rwibitaro (amanota - 1) numubare wabarwayi barokotse gusohoka nta nkunga yumutima nimiyoboro yubuhumekero kugeza kumunsi wa 21. Ibisubizo by'abarwayi byose byasuzumwe hifashishijwe urugero rw'ibarurishamibare rwa Bayesian kandi rushingiye ku rwego rwa D-dimer.
Ibisubizo: mugihe imiti yo kuvura anticoagulation yujuje ibipimo byateganijwe, ikizamini cyahagaritswe.Mu barwayi 2219 mu isesengura ryanyuma, amahirwe yo kuvura dose anticoagulation yongerera iminsi iminsi adashyigikiwe ningingo ugereranije na tromboprophylaxis yari 98,6% (yahinduwe cyangwa, 1.27; 95% CI, 1.03 ~ 1.58).Itandukaniro ryuzuye hagati yitsinda muguhindura ubuzima kugirango risohoke nta nkunga yingingo ryerekanye ko imiti yo kuvura anticoagulation yari nziza, kandi itandukaniro riri hagati yaya matsinda yombi ryari 4.0% (0.5 ~ 7.2).Amahirwe ya nyuma yo kuba arwanya imiti igabanya ubukana bwa tromboprophylaxis yari 97.3%, 92.9% na 97.3% mugice kinini cya D-dimer, cohort ya D-dimer hamwe na D-dimer itazwi.Kuva amaraso menshi byabaye muri 1.9% na 0.9% byabarwayi bari mumatsinda yo kuvura dose anticoagulation hamwe nitsinda rishinzwe gukumira trombose.
Umwanzuro: ingamba nshya ya coronavirus pneumonia irashobora kongera amahirwe yo kubaho no gusohoka no kugabanya ikoreshwa ryumutima nimiyoboro cyangwa ubuhumekero kubarwayi bafite umusonga udakabije.
Igihe cyo kohereza: Nzeri-18-2021