新型冠状病毒大流行期间的实体器官移植

Q4 Medicine
D. V. Shumakov, D. I. Zybin, A. B. Zulkarnaev, V. V. Dontsov, E. G. Agafonov, M. A. Popov
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引用次数: 0

摘要

慢性实体器官疾病的终末期阶段在世界范围内的发病率和死亡率结构中占有相当重要的地位。迄今为止,全世界有600多万患者处于这种状态。心脏、肝脏和肾脏移植是治疗这些患者的金标准。移植的数量每年都在增长。2019年底,世界面临着一种新型病毒感染——SARS-CoV-2,这是一种通过空气飞沫传播的高度传染性全身性呼吸道疾病,在三个月内引发了一场大流行,导致数十万人死亡。大流行病调整了计划医疗保健的结构。计划手术的数量显著减少,而感染相关并发症的数量有所增加。终末期慢性病患者最初免疫力较弱,是最易受感染的人群。目前,病人管理策略的问题仍然悬而未决。对于不同器官的终末期慢性疾病患者术前和移植后的患者管理策略尚无共识。这一课题需要进一步研究和开发针对此类患者的治疗算法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Transplantation of solid organs during the pandemic of a new coronavirus infection
The end-stage stage of chronic diseases of solid organs is rather significant in the structure of morbidity and mortality among patients worldwide. To date, there are more than six million patients in this status worldwide. Heart, liver and kidney transplantation is the gold standard of treatment for these patients. The number of transplants is growing every year.At the end of 2019, the world faced a new type of viral infection – SARS-CoV-2 – a highly contagious systemic respiratory disease transmitted by airborne droplets, which in three months led to a pandemic and killed hundreds of thousands of people. The pandemic has made adjustments to the structure of planned medical care. The number of planned operations has decreased significantly, and the number of the infection-associated complications has increased.Patients with end-stage chronic diseases initially have weakened immunity and represent the category most susceptible to the infection. At the moment, the question of patient management tactics remains open. There is no consensus on the patient management tactics before surgery and in the posttransplantation period for patients at the end-stage chronic disease of different organs. This topic requires further study and the development of treatment algorithms for such patients.
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来源期刊
Transplantologia
Transplantologia Medicine-Transplantation
CiteScore
0.50
自引率
0.00%
发文量
32
审稿时长
8 weeks
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