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【冠状病毒19】本地客工确诊冠病 脚趾头发黑引血栓

by 林殊
14/10/2020
in 冠状病毒(COVID-19), 新闻, 时事
Reading Time: 1 min read
0

尽管在医疗界的努力下,人们逐渐掌握冠状病毒19的症状,但对于这病毒底细仍一知半解。我国近日出现一例病患,因冠病病毒引起血液浓稠,造成病患血栓,相信亦是全球首例因主动脉出现血栓的病例。

该病例是孟加拉籍的送货司机乌拉(音译,Ullah Kefayet)。今年五月初,因发烧和气喘被送往陈笃生医院,并确诊患上冠病。

然而,在他入院后三天,右脚出现急性疼痛和坏疽(gangrene),其脚趾头已出现发黑症状,经电脑断层扫描后,发现腿部有血栓。再进一步检查后,发现胸腹主动脉也出现血栓,并逐渐移向脾脏和肾脏。

医生在发现主动脉异常后,立即为他进行手术安装覆膜支架(Stent Graft),避免血栓继续,成功保住性命。

据《联合早报》报导,陈笃生医院普通外科主任及高级顾问医生兼任助理教授(客座)陈伟隆,指之前的研究以显示冠病病毒可能致血液浓稠,从而导致血栓,但血栓主要出现在腿部,从未出现在血液流动较大的主动脉。

若不及时处理,血栓可能会引发心脏病和中风等疾病,更可能移动至其他器官或四肢,重则可造成死亡、器官衰竭或截肢。

但因之前只有少数冠病病患会进行主动脉电脑断层扫描,因此国外一些出现重复性血栓的病患,可能是主动脉血栓引起,却无法得到确诊结果。

团队希望通过分享经验,提醒全球同行发现病患有血栓时,也要检查病患的主动脉,避免病情恶化。

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