“长冠肺炎”的器官特异性表现

Sergey G. Sсherbak, D. A. Vologzhanin, T. Kamilova, Aleksandr S. Golota, S. V. Makarenko, A. Sarana
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引用次数: 0

摘要

2019冠状病毒病大流行严重影响了全球卫生保健系统,造成了严重的发病率和死亡率。当相当大比例的患者从感染的急性期恢复后,出现持续数月或数年的各种症状时,人们意识到covid -19后后遗症的发生和重要性。这些并发症不仅存在于呼吸道,还存在于多器官系统。由于并发症在部位和严重程度上是可变的,因此需要多学科的努力来管理这些患者。COVID-19后状态(简称COVID)代表了许多不同的病毒后综合征,需要适当分类。对于所有持续超过12周且没有其他解释的身体和神经精神症状,需要收集大量数据。数据收集和分析过程应控制所有混杂因素,包括重症监护住院的后果、社会隔离和其他影响。目前缺乏有效的治疗方法,反映出COVID-19后疾病的病因尚不清楚,在其机制建立之前无法适当地针对这些疾病。及时收集数据并确定covid -19长期临床表现背后的生理机制对于设计有效的治疗方法至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Organ-specific manifestations of "long COVID"
The COVID-19 pandemic has severely affected the healthcare system across the globe and caused significant morbidity and mortality. The occurrence and importance of the post-COVID-19 sequelae was realized when a sizable proportion of patients appeared to continue suffering from various symptoms for many months and years after having recovered from the acute phase of infection. These complications were observed in multiple organ systems and not only in the respiratory tract. Multidisciplinary efforts are required to manage these patients as the complications are variable in terms of location and severity. The post COVID-19 condition (long COVID) represents a number of different post-viral syndromes that require an appropriate classification. Collection of a large amount of data is required for all the physical and neuropsychiatric symptoms that persist for more than 12 weeks without an alternative explanation. The process of data collection and analysis should be controlled for all confounding factors including the consequences of intensive care hospitalization, social isolation, and other effects. The current absence of the effective treatment reflects the unclear causes of the post COVID-19 conditions which cannot be targeted properly until their mechanism is established. Timely collection of data and identification of physiological mechanisms underlying the long-term clinical manifestations of C0VID-19 are vital for the relevant design of effective therapies.
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