鼻黏膜真菌病合并新冠肺炎后肺栓塞的麻醉治疗

Madhuri S Kurdi
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摘要

冠状病毒病(COVID)-19,特别是严重的疾病与静脉血栓栓塞的风险和患病率增加有关。严重急性呼吸综合征冠状病毒(SARS-CoV-2)与内皮细胞上的血管紧张素转换酶-2 (ACE-2)受体结合,特别是在肾脏、心脏、肺部等,引起内皮细胞损伤,导致血栓形成和血栓并发症,如深静脉血栓形成、肺栓塞、心肌梗死等。在此,我们报告了一名40岁男性患者的麻醉处理经验,该患者患有COVID-19后鼻腔毛霉菌病,并有肺栓塞史,他接受了双侧功能性内窥镜鼻窦手术(FESS)和内窥镜清创。
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Anaesthetic Management of a Case of Sinonasal Mucormycosis with Post Covid -19 Pulmonary Embolism for Endoscopic Debridement
Coronavirus disease (COVID)-19, especially the severe disease is associated with an increased risk and prevalence of venous thromboembolism [1]. Severe acute respiratory syndrome coronavirus (SARS-CoV-2) binds to the angiotensin converting enzyme-2 (ACE-2) receptors on endothelial cells, especially within the kidneys, heart, lungs, etc. causing endothelial cell damage leading to thrombosis and thrombotic complications like deep vein thrombosis, pulmonary embolism, myocardial infarction, etc [2].We present here our experience of the anaesthetic management of a 40 year old male with post COVID-19 sinonasal mucormycosis and history of pulmonary embolism posted for bilateral functional endoscopic sinus surgery (FESS) and endoscopic debridement.
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