TACTICS OF MANAGEMENT OF A PATIENT WITH CORONAVIRUS INFECTION CAUSED BY SARS-COV-2, WITH SEVERE DAMAGE TO THE RESPIRATORY AND CARDIOVASCULAR SYSTEMS
DOI:
https://doi.org/10.31379/2411.2616.18.2.1Keywords:
coronavirus, coronavirus infection, COVID-19, SARS-Cov-2, bilateral polysegmental pneumonia, hydrothorax, pancarditis, myocarditis, pericarditis.Abstract
A 32-year-old woman was admitted to the admission department with pain in the heart with irradiation in the left shoulder blade, shortness of breath, shortness of breath of a mixed nature. conducted instrumental (Computed Tomography (CT) of the chest (OGK), CT-angiography of the pulmonary artery, ultrasound, ECG), laboratory studies, based on clinical data and after differential diagnosis, were found: coronavirus infection caused by SARS-Cov-2. Outpatient bilateral polysegmental pneumonia. Bilateral hydrothorax. Pankardit. Pericarditis. Occlusion of subcutaneous veins of both lower extremities. According to the severity of the patient’s condition, she was hospitalized in the intensive care unit. Based on these and instrumental studies, as well as clinical indicators and the general condition of the patient, the tactics of laboratory therapy were determined, which noted a positive effect.
References
Ураження серця, пов’язані з covid-19, та особливості електрокардіографічних змін / С.В. Дзига, О.В. Бакалець, Н.Б. Бегош // Коронавірусна хвороба: підходи до ведення пацієнтів. – Тернопіль, 2021. – С. 518–530.
Протокол «Надання медичної допомоги для лікування коронавірусної хвороби (COVID-19)» від 02 квітня 2020 року № 762 (у редакції наказу Міністерства охорони здоров’я України від 30 грудня 2021 року № 2948.