新型冠状病毒感染(covid-19)复杂病程的临床及预后标准

Sycheva A.S., Kebina A.L., Vertkin А.L.
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引用次数: 1

摘要

的相关性。新型冠状病毒感染(COVID-19)的大流行是现代医学的主要课题和问题,需要对这类患者进行快速诊断和医疗护理。目前,在确定感染COVID-19的个体发病机制的同时,正在深入研究该疾病的临床和流行病学特殊性,并正在开发新的预防和治疗COVID-19感染的药物。确定严重病程和暴露方法的预测因子是非常重要的。研究表明,COVID-19住院患者同时存在多种合并症对病程及预后有负面影响。研究目的:分析新型冠状病毒感染COVID-19的临床病程(临床口罩)与年龄、性别、躯体疾病发病率分布的观察结果及临床结局,探讨SARS-CoV-2病毒引起的冠状病毒感染的脏器损害规律。材料与方法:纳入110例新型冠状病毒感染的病毒性肺炎患者。评估死亡患者尸检中存在的严重病程变异和躯体疾病强度的危险因素。研究结果:发现的分析数据显示,COVID-19严重病程的最显著预测因素是动脉高血压,心血管风险高和极高,其次是肾脏疾病、2型糖尿病、肥胖、肝脏和心力衰竭。发现的分析数据表明,COVID-19严重病程的最重要预测因素是动脉高血压,心血管风险高和极高,其次是肾脏疾病、2型糖尿病、肥胖、肝功能衰竭和心力衰竭。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
CLINICAL AND PROGNOSTIC CRITERIA FOR THE COMPLICATED COURSE OF NEW CORONAVIRUS INFECTION (COVID-19).
Relevance. The pandemic of new coronavirus infection COVID-19 is the main topic and problem of modern medicine associated with the necessity of rapid diagnostics and medical care rendered to such patients Nowadays, individual pathogenetic mechanisms of infection COVID-19 are determined, however, clinical and epidemiological particularities of the disease are being intensively investigated, and new agents for prevention and treatment of infection COVID-19 are being developed. The determination of predictors of the severe disease course and exposure methods is definitely important. The studies have shown that the presence of various concurrent comorbid diseases in patients hospitalized with COVID-19 negatively affects the disease course and its prognosis. Study objective: the analysis of the observation results and clinical outcomes of clinical course (clinical masks) of new coronavirus infection COVID-19 with the distribution by age, gender and incidence of somatic diseases, identification of the pattern of visceral organ damages in coronavirus infection caused by virus SARS-CoV-2. Materials and methods: 110 patients with virus pneumonia caused by COVID-19 were enrolled to the study. The presence of risk factors of the severe disease course variants and intensity of the somatic disorder in necropsy of patients died were evaluated. Study results: The found analysis data suggest that the most significant predictors of the severe course of COVID-19 are arterial hypertension with a high and very high cardiovascular risk, followed by a renal disorder, type 2 diabetes mellitus, obesity, hepatic and heart failure. Conclusion. The found analysis data suggest that the most significant predictors of the severe course of COVID-19 are arterial hypertension with a high and very high cardiovascular risk, followed by a renal disorder, type 2 diabetes mellitus, obesity, hepatic and heart failure.
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