Articolul precedent |
Articolul urmator |
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SM ISO690:2012 CONDREA, Alexandra, ROPOT, Doina, ZOTA, Eremia, CRIVORUCICA, Igor. Evoluția infecției Covid-19 la un pacient cu accident vascular cerebral după tromboliză sistemică. In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 342. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | |||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | |||||
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Pag. 342-342 | |||||
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Rezumat | |||||
Background. Ischemic stroke (IS) remains a medical emergency even during the pandemic. COVID19 infection is associated with hypercoagulation and may contribute to the onset, development and can influence the prognosis of the IS. Objective of the study. Presentation of the first clinical case of an IS associated with COVID-19 infection in a patient who was treated with systemic thrombolysis (ST). Material and Methods. Anamnesis, clinical and paraclinical data were taken from the medical databases. The patient was investigated by electrocardiography, lung radiography, brain and lung computed tomography (CT), duplex examination of the cerebral and extracerebral vessels. The literature about similar cases has been studied. Results. A 59-year-old man, with a single lung, was hospitalized in the neurology department with speech disorders and weakness in right limbs. The patient presented in the therapeutic window and because of that he was eligible for the treatment with ST, Alteplaza solution was administered according to the protocol. Due to the appearance of fever and cough over 2 days after admission, was performed lung CT and the result of RT-PCR for detectection of COVID-19 was positive. The patient was treated according to the protocol for COVID-19 infection and anticoagulant drugs until his discharge. After 28 days of treatment, the patient has been neurologically and somatically completely recovered. Conclusion. It is possible that COVID-19 infection contributed to the development of IS due to hypoxemia, endothelial dysfunction and platelet aggregation. ST in eligible patients has a positive influence on the evolution and prognosis of the disease in patients with associated IS with COVID-19 infection. |
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Cuvinte-cheie ischemic stroke, COVID-19, systemic thrombolysis, accident vascular cerebral ischemic, COVID-19, tromboliză sistemică |
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