Vasina kusimba varwere vane novel coronavirus pneumonia: heparin anticoagulation vs yakajairika kudzivirira thrombus.

Kwakabva: nguva yekuunganidza mishonga yepasi rose: Gunyana 18, 2021

Vazhinji vatsva veconavirus pneumonia varwere vanorwara zviri pakati nepakati uye pekutanga havadi rutsigiro rwenhengo muICU.Novel coronavirus pneumonia yakashandiswa mukudzidza kweN Engl J Med muna Nyamavhuvhu 2021. Vatsvagiri muCanada, United States neBrazil vakaburitsa mabhuku echiChinese echinyakare kutsvaga kurapwa kweanticoagulant kurapwa kweheparin anticoagulation therapy muvarwere vasina kuomarara vane korona itsva pneumonia.

Mhemberero: novel coronavirus pneumonia inosanganiswa nerufu uye matambudziko nekuda kwethrombosis uye kuzvimba.Vatsvagiri vakafungidzira novel coronavirus pneumonia inogona kuvandudza mhedzisiro yevarwere vasina kukomba muchipatara vane korona itsva pneumonia.

Nzira: novel coronavirus pneumonia (isiri nhengo yerutsigiro), inotsanangurwa seisina kukoshesa nhanho yekuchengetedza, yakapihwa zvisina tsarukano kune 2 tsananguro inoshanda: heparin anticoagulation kana yenguva dzose thrombus prophylaxis mune iyi yakavhurika, inogadzirisa, yakawanda chikuva, inodzorwa muyedzo.Mhedzisiro yekutanga yaive nhamba yemazuva asina kutsigirwa neorgan, yakaongororwa nechiyero chakatevedzana chakabatanidza kufa muchipatara (chibodzwa - 1) uye nhamba yemazuva evarwere vakapona kuti vaburitswe pasina tsigiro yemoyo kana yekufema nhengo yekufema kusvika zuva 21. Mhedzisiro dzese dzemurwere dzakaongororwa pachishandiswa maBayesian statistical modhi uye zvichibva pane yekutanga D-dimer mazinga.

Migumisiro: apo chirwere chekurapa che anticoagulation chakasangana ne preset hukuru hwemaitiro, muedzo wakamiswa.Pakati pevarwere ve2219 mukuongorora kwekupedzisira, mukana wekurapa dose anticoagulation kuwedzera nhamba yemazuva pasina nhengo yekutsigira kana ichienzaniswa neyakajairika thromboprophylaxis yaive 98.6% (yakagadziriswa kana, 1.27; 95% CI, 1.03 ~ 1.58).Musiyano wakakwana pakati pemapoka mukugadzirisa kwekupona kubuda pasina tsigiro yenhengo yakaratidza kuti mushonga wekurapa weanticoagulation waive nani, uye musiyano pakati pemapoka maviri aive 4.0% (0.5 ~ 7.2).Mukana wekupedzisira wehukuru hwekurapa dhizaini anticoagulation pamusoro peyakajairwa thromboprophylaxis yaive 97.3%, 92.9% uye 97.3% mune yakakwirira D-dimer cohort, yakaderera D-dimer cohort uye isingazivikanwe D-dimer cohort, zvichiteerana.Kubuda ropa kukuru kwakaitika mu1.9% uye 0.9% yevarwere mukurapa dose anticoagulation boka uye thrombosis kudzivirira boka, zvichiteerana.

Mhedziso: novel coronavirus pneumonia zano rinogona kuwedzera mukana wekupona uye kuburitswa uye kuderedza kushandiswa kwemoyo netsigiro yekufema muvarwere vane isina kuomarara korona itsva.


Nguva yekutumira: Sep-18-2021