疫苗诱导的血栓性血小板减少症和Covid-19疫苗:病例系列

Prilozi Pub Date : 2022-03-01 DOI:10.2478/prilozi-2022-0005
E. Trajkovska, I. Mitevska, M. Bosevski, Collaborators: Elena Grueva Nastevska, Ana Chelikikj, Atanas Gjorgjievski
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引用次数: 1

摘要

疫苗诱导的血栓性血小板减少症(VITT)是一种类似于肝素诱导的血小板减少症(HIT)的疾病,但它与先前未接触肝素的情况下接种COVID-19疫苗有关。VITT的发病率不确定,但它似乎是极其罕见的。不寻常和严重的血栓形成事件的报告,包括脑和内脏静脉血栓形成和其他自身免疫性不良反应,如与某些SARS-CoV-2疫苗有关的免疫性血小板减少症或血栓性微血管病,引起了人群和医学界的极大关注。我们想提出4例VITT的临床病例,在斯科普里大学心脏病学诊所的重症监护病房(ICU)住院治疗。
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Vaccine-Inducted Thrombotic Thrombocytopenia and Covid-19 Vaccines: Case Series
Abstract Vaccine-induced thrombotic thrombocytopenia (VITT) is a condition similar to heparin-induced thrombocytopenia (HIT), but it is associated with prior administration of COVID-19 vaccines without prior exposure to heparin. The incidence of VITT is not certain, but it appears to be extremely rare. Reports of unusual and severe thrombotic events, including cerebral and splanchnic venous thrombosis and other autoimmune adverse reactions, such as immune thrombocytopenia or thrombotic microangiopathies in connection with some of the SARS-CoV-2 vaccines, have caused a great deal of concern within the population and the medical community. We would like to present 4 clinical cases of VITT, hospitalized and treated in intensive care unit (ICU) of University clinic of cardiology in Skopje.
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