Clinical Focus ›› 2021, Vol. 36 ›› Issue (3): 203-207.doi: 10.3969/j.issn.1004-583X.2021.03.002
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Lu Haoyang1, Lu Jiazhong2, Han Mingfeng2, Lvh Xincai2, Zhang Biao2, Rong Chengzhen2, Jia Leilei2, Pan Qiangqiang2, Ma Leilei2, Zhao Ren1()
Received:
2020-10-30
Online:
2021-03-20
Published:
2021-03-29
Contact:
Zhao Ren
E-mail:zhaoren2008@126.com
CLC Number:
Lu Haoyang, Lu Jiazhong, Han Mingfeng, Lvh Xincai, Zhang Biao, Rong Chengzhen, Jia Leilei, Pan Qiangqiang, Ma Leilei, Zhao Ren. Observations on clinical treatment of COVID-19 complicated with cardiovascular disease[J]. Clinical Focus, 2021, 36(3): 203-207.
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URL: https://huicui.hebmu.edu.cn/EN/10.3969/j.issn.1004-583X.2021.03.002
组别 | 例数 | 重症危重症 [例(%)] | 平均住院 时间(d) | 住院期间发生心血管不良事件[例(%)] | ||||
---|---|---|---|---|---|---|---|---|
新发心力衰竭 | 新发心律失常 | 新发心肌梗死 | 新发卒中 | 新发肺栓塞 | ||||
心血管疾病 | 21 | 8(38.1) | 18.9±6.9 | 0 | 1(4.76) | 0 | 0 | 0 |
非心血管疾病 | 134 | 22(16.4) | 18.4±6.8 | 0 | 0 | 0 | 0 | 0 |
统计值 | 5.466 | 0.618 | ||||||
P值 | 0.019 | 0.538 | 0.135 |
组别 | 例数 | 重症危重症 [例(%)] | 平均住院 时间(d) | 住院期间发生心血管不良事件[例(%)] | ||||
---|---|---|---|---|---|---|---|---|
新发心力衰竭 | 新发心律失常 | 新发心肌梗死 | 新发卒中 | 新发肺栓塞 | ||||
心血管疾病 | 21 | 8(38.1) | 18.9±6.9 | 0 | 1(4.76) | 0 | 0 | 0 |
非心血管疾病 | 134 | 22(16.4) | 18.4±6.8 | 0 | 0 | 0 | 0 | 0 |
统计值 | 5.466 | 0.618 | ||||||
P值 | 0.019 | 0.538 | 0.135 |
治疗用药 | COVID-19 | 心血管系统不良反应 | |||
---|---|---|---|---|---|
不合并心 血管疾病 | 合并心血 管疾病 | 不合并心 血管疾病 | 合并心血 管疾病 | ||
抗病毒药物 | 2 | 0 | |||
洛匹那韦/利托那韦 | 133 | 21 | |||
奥司他韦 | 24 | 4 | |||
达芦那韦/考比司他 | 2 | 0 | |||
阿比朵尔 | 17 | 6 | |||
α-干扰素 | 71 | 13 | |||
抗菌药物 | |||||
莫西沙星 | 76 | 13 | |||
碳青霉烯类 | 2 | 0 | |||
头孢菌素类 | 9 | 2 | |||
糖皮质激素 | 42 | 9 | |||
中医中药 | |||||
连花清瘟颗粒 | 104 | 10 | |||
清肺排毒汤 | 98 | 11 |
治疗用药 | COVID-19 | 心血管系统不良反应 | |||
---|---|---|---|---|---|
不合并心 血管疾病 | 合并心血 管疾病 | 不合并心 血管疾病 | 合并心血 管疾病 | ||
抗病毒药物 | 2 | 0 | |||
洛匹那韦/利托那韦 | 133 | 21 | |||
奥司他韦 | 24 | 4 | |||
达芦那韦/考比司他 | 2 | 0 | |||
阿比朵尔 | 17 | 6 | |||
α-干扰素 | 71 | 13 | |||
抗菌药物 | |||||
莫西沙星 | 76 | 13 | |||
碳青霉烯类 | 2 | 0 | |||
头孢菌素类 | 9 | 2 | |||
糖皮质激素 | 42 | 9 | |||
中医中药 | |||||
连花清瘟颗粒 | 104 | 10 | |||
清肺排毒汤 | 98 | 11 |
治疗用药 | [例(%)] |
---|---|
高血压用药 | |
硝苯地平 | 13(61.90) |
卡托普利 | 1(4.76) |
厄贝沙坦 | 2(9.52) |
氢氯噻嗪和螺内酯 | 1(4.76) |
左旋氨氯地平 | 1(4.76) |
冠心病用药 | |
美托洛尔 | 2(9.52) |
阿司匹林 | 2(9.52) |
单硝酸异山梨酯 | 1(4.76) |
辛伐他汀 | 2(9.52) |
曲美他嗪 | 2(9.52) |
美托洛尔 | 2(9.52) |
复方丹参滴丸 | 1(4.76) |
治疗用药 | [例(%)] |
---|---|
高血压用药 | |
硝苯地平 | 13(61.90) |
卡托普利 | 1(4.76) |
厄贝沙坦 | 2(9.52) |
氢氯噻嗪和螺内酯 | 1(4.76) |
左旋氨氯地平 | 1(4.76) |
冠心病用药 | |
美托洛尔 | 2(9.52) |
阿司匹林 | 2(9.52) |
单硝酸异山梨酯 | 1(4.76) |
辛伐他汀 | 2(9.52) |
曲美他嗪 | 2(9.52) |
美托洛尔 | 2(9.52) |
复方丹参滴丸 | 1(4.76) |
年龄(岁) | 性别 | 诊断 | 治疗过程 | 治疗结果 |
---|---|---|---|---|
68 | 男 | COVID-19危重型 高血压病3级极高危 2型糖尿病 下肢静脉血栓 | COVID-19治疗:机械通气、血浆置换、头孢菌素类+阿米卡星+伏立康唑+利奈唑胺 高血压治疗:硝苯地平缓释片(20 mg,2次/d)、螺内酯片(40 mg,1次/d) 抗栓治疗:低分子肝素 | 患者炎症水平明显下降,病情好转。 |
70 | 男 | COVID-19危重型 高血压病3级高危 | COVID-19治疗:机械通气、血浆置换、头孢菌素类+阿米卡星+伏立康唑+利奈唑胺 高血压治疗:美托洛尔片(47.5 mg,1次/d)、曲美他嗪片(20 mg,3次/d)、螺内酯片(40 mg,1次/d) 房颤治疗:胺碘酮,低分子肝素 | 患者恢复窦性心律,炎症水平明显下降,血压维持正常水平,病情好转。 |
年龄(岁) | 性别 | 诊断 | 治疗过程 | 治疗结果 |
---|---|---|---|---|
68 | 男 | COVID-19危重型 高血压病3级极高危 2型糖尿病 下肢静脉血栓 | COVID-19治疗:机械通气、血浆置换、头孢菌素类+阿米卡星+伏立康唑+利奈唑胺 高血压治疗:硝苯地平缓释片(20 mg,2次/d)、螺内酯片(40 mg,1次/d) 抗栓治疗:低分子肝素 | 患者炎症水平明显下降,病情好转。 |
70 | 男 | COVID-19危重型 高血压病3级高危 | COVID-19治疗:机械通气、血浆置换、头孢菌素类+阿米卡星+伏立康唑+利奈唑胺 高血压治疗:美托洛尔片(47.5 mg,1次/d)、曲美他嗪片(20 mg,3次/d)、螺内酯片(40 mg,1次/d) 房颤治疗:胺碘酮,低分子肝素 | 患者恢复窦性心律,炎症水平明显下降,血压维持正常水平,病情好转。 |
例序 | 白细胞 计数 (×109/L) | 淋巴细胞 计数 (×109/L) | 血小板 计数 (×109/L) | 血红蛋白 (g/L) | ALT (U/L) | AST (U/L) | 总胆红素 (μmol/L) | 肌酐 (μmol/L) | PT (s) | C反应蛋白 (mg/L) | IL-6 (pg/ml) |
---|---|---|---|---|---|---|---|---|---|---|---|
病例1 | |||||||||||
治疗前 | 12.25 | 0.55 | 180 | 143 | 263 | 185 | 24.7 | 96 | 36.1 | 226.4 | 135.13 |
治疗后 | 4.72 | 0.7 | 170 | 112 | 13 | 17 | 5.9 | 51 | 10.5 | 26 | 5.63 |
病例2 | |||||||||||
治疗前 | 11.23 | 0.57 | 163 | 133 | 35 | 39 | 29.6 | 67 | 14.3 | 200.4 | 145.20 |
治疗后 | 9.54 | 1.34 | 206 | 118 | 28 | 32 | 10.7 | 59 | 11.4 | 20 | 6.67 |
例序 | 白细胞 计数 (×109/L) | 淋巴细胞 计数 (×109/L) | 血小板 计数 (×109/L) | 血红蛋白 (g/L) | ALT (U/L) | AST (U/L) | 总胆红素 (μmol/L) | 肌酐 (μmol/L) | PT (s) | C反应蛋白 (mg/L) | IL-6 (pg/ml) |
---|---|---|---|---|---|---|---|---|---|---|---|
病例1 | |||||||||||
治疗前 | 12.25 | 0.55 | 180 | 143 | 263 | 185 | 24.7 | 96 | 36.1 | 226.4 | 135.13 |
治疗后 | 4.72 | 0.7 | 170 | 112 | 13 | 17 | 5.9 | 51 | 10.5 | 26 | 5.63 |
病例2 | |||||||||||
治疗前 | 11.23 | 0.57 | 163 | 133 | 35 | 39 | 29.6 | 67 | 14.3 | 200.4 | 145.20 |
治疗后 | 9.54 | 1.34 | 206 | 118 | 28 | 32 | 10.7 | 59 | 11.4 | 20 | 6.67 |
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