一名新冠肺炎重型患者的“隐性低氧血症”
https://doi.org/10.47093/2218-7332.2020.11.2.87-91
摘要
简介:
新冠感染患者常有严重的肺部损伤伴急性呼吸衰竭的发生。然而在发生明显低氧血症的背景下，一部分患者的主观感觉在较长时间内仍保持良好，且无呼吸困难症状。
病例描述:
我们对一名65岁重型新冠肺炎男性患者进行了临床观察，该患者血氧指标低，但未诉呼吸困难。病人仅在病程恶化，血氧饱和度低至85％或更低时才感觉到气短。随后患者状况恶化，最终因多器官衰竭死于重症监护病房。
讨论:
该病例直观说明了新型冠状病毒肺炎病程发展的又一特点：血氧饱和度是最具指导意义的客观指标之一，有助于医生对新冠肺炎患者状况进行真实评估。
关于作者
A. D. Palman
Sechenov First Moscow State Medical University (Sechenov University)
俄罗斯联邦
俄罗斯联邦
Alexander D. Palman, MD, PhD, Associate Professor, Department of Hospital Therapy No. 1
8/2, Trubetskaya str., Moscow, 119991
D. A. Andreev
Sechenov First Moscow State Medical University (Sechenov University)
俄罗斯联邦
俄罗斯联邦
Denis A. Andreev, MD, PhD, DMSc, Professor, Head of the Department of Cardiology, Functional and Ultrasound Diagnostics
8/2, Trubetskaya str., Moscow, 119991
S. A. Suchkova
Sechenov First Moscow State Medical University (Sechenov University)
俄罗斯联邦
俄罗斯联邦
Svetlana A. Suchkova, cardiologist, Cardiology Department for patients with myocardial infarction, University Clinical Hospital No. 1
8/2, Trubetskaya str., Moscow, 119991
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