肺炎Covid - 19患者高血压的治疗:文献综述

Abraham Dharmawan, Andronikus Dharmawan, Yunias Setiawati, Florentina Joestandari, Salva R. Yurista
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引用次数: 0

摘要

COVID-19是由SARS-CoV-2引起的一种传染性呼吸道疾病。它起源于中国武汉,迅速传播到世界各地。在短短6个月内,到2020年6月,报告的确诊病例不少于770万例。病因是严重急性呼吸综合征冠状病毒-2。许多器官都受到Covid-19的影响,尤其是心脏和肺。心血管损伤常在此病患者中发现。我们可以发现肌钙蛋白和/或肌酸激酶增加。Covid-19中的细胞素风暴可导致多器官衰竭(MOF),危及生命。细胞素风暴表现为过度炎症,高铁蛋白血症,促炎细胞因子显著增加,血流动力学不稳定,最后,多器官功能衰竭,这可能是致命的。从临床症状看,许多患者出现肺炎和严重急性呼吸窘迫综合征,这是新冠肺炎的主要死亡原因。在被诊断为COVID-19肺炎的患者中,高血压和心脏问题似乎是最高的合并症,并存在环境中的健康风险。COVID-19重症患者的多系统参与需要采取整体方法来管理COVID-19相关高血压。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Management of Hypertension in Patients with Pneumonia Covid 19: A Literature Review
COVID-19 is an infectious respiratory disease caused by SARS-CoV-2. Originating from Wuhan, China, it spread quickly to the entire world. In just 6 months, it's reported no less than 7.700.000 confirmed cases by June 2020. The cause is severe acute respiratory syndrome coronavirus-2. Many organs are affected by Covid-19, especially the heart and lungs. Cardiovascular damage is frequently detected in patients with this condition. We can find troponin and/or creatine kinase increasing. Cytocine storm in Covid-19 can result towards multiple organ failure (MOF), which is life threatening. Cytocine storm manifested in excessive inflammation, hiperferritinemia, a marked increase in proinflammatory cytokines, hemodinamic instability, and lastly, multi organ failure, which can be fatal. From clinical symptoms, many of the patients developed pneumonia and severe acute respiratory distress syndrome, which is the main death cause of Covid-19. Hypertension and heart problems appear to be the highest comorbidity in patients diagnosed with COVID-19 pneumonia and health risk in the environment.  Multisystem involvement of severe COVID-19 patients necessitates a holistic approach to managing COVID-19-associated hypertension.
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