We review the experience with the diagnosis and treatment of secondary cerebral infarction in an elderly patient with coronavirus disease 2019 (COVID-19). COVID-19 has rapid disease progression with a high mortality rate in elderly patients, and physicians should be alert to secondary bacterial infection that may result in coagulation dysfunction and cerebral infarction. Early anti-infection therapy, immune regulation and appropriate anticoagulation intervention may help improve the prognosis of the patients.
本文报告1例老年新型冠状病毒肺炎（COVID-19）继发脑梗塞患者的诊疗体会。该个案提示临床医生面对病情进展快、死亡率高的老年COVID-19患者时，应警惕继发细菌感染及由此引发的凝血功能紊乱和脑梗塞，及早抗感染、免疫调节、合理抗凝干预可能有助于改善预后。
Keywords: COVID-19; cerebral infarction; elderly patients; secondary bacterial infection.