Thrombosis and coagulopathy in COVID-19: An illustrated review

被引:43
作者
Levi, Marcel [1 ,2 ]
Hunt, Beverley J. [3 ]
机构
[1] Univ Coll London Hosp NHS Fdn Trust, Dept Med, London, England
[2] Univ Coll London Hosp NHS Fdn Trust, Cardiometab Programme NIHR UCLH UCL BRC, London, England
[3] Guys & St Thomas NHS Fdn Trust, Thrombosis & Haemophilia Ctr, London, England
关键词
COVID-19; novel coronavirus; thrombosis; coagulopathy; coagulation; CORONAVIRUS DISEASE 2019;
D O I
10.1002/rth2.12400
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
This illustrated review discusses the haemostatic changes seen in patients with severe coronavirus disease 2019 (COVID-19) infection and their possible causes. We discuss the crosstalk between inflammation and coagulation resulting in high levels of acute-phase proteins, very high levels of D-dimers, and absence of disseminated intravascular coagulation seen in patients with severe COVID-19. There appear to be high rates of venous thromboembolism and also, what has been poorly described before in acute lung injury, a high rate of pulmonary immunothrombosis (thrombosis secondary to inflammation).
引用
收藏
页码:744 / 751
页数:8
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