我们能预测COVID-19后患者的肺部后遗症吗?

Dorina Esendağlı, Ece Koç, Nilsu Buket Ercan, Buse Tekşam, Begüm Eda Türkay, Zehra Dilek Yağci
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摘要

简介因 COVID-19 肺炎住院的患者,即使长期接受标准治疗或抗炎方案,感染后也可能发展为肺纤维化。很难预测哪类患者会出现进展性肺部疾病,因此本研究旨在确定在感染急性期可能存在的生物标志物,以预测感染后的肺纤维化。材料与方法研究对象包括 2020 年 1 月至 12 月期间因肺炎住院且 COVID-19 感染 PCR 呈阳性的患者。对他们进行为期12个月的随访,以了解COVID-19感染后的症状和肺部后遗症的形成情况。研究结果共纳入 64 名患者,中位年龄为 62 岁(R:17-93),42.2% 为女性(n=27)。35名患者(54.7%)出现COVID后症状,其中8人(12.5%)死亡,22人(34.4%)再次住院。76.6%的患者临床疗程良好,但54.7%的患者在感染后出现后遗症。入院时的肺炎评分、血氧饱和度水平、CRP和肌钙蛋白水平与后遗症的发生有显著关系(p
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Can we predict lung sequelae in post-COVID-19 patients?
Introduction: Patients hospitalized with COVID-19 pneumonia can progress to lung fibrosis after the infection even though given the standard treatment or the anti-inflammatory regimen for the long term. It is hard to predict which group of patients is going to have a progressive lung disease thus this study aims to define possible biomarkers at the acute onset of infections that might predict lung fibrosis afterwards. Material and Methods: Patients hospitalized between January - December 2020 with pneumonia and a positive PCR for COVID-19 infection were included in the study. They were followed up for 12 months for post-COVID-19 symptoms and lung sequelae formation. Results: A total of 64 patients were included with a median age of 62 (R: 17-93) and 42.2% were women (n=27). 35 patients (54.7%) had post-COVID symptoms, 8 (12.5%) of them died and 22 (34.4%) were re-hospitalized. 76.6% had a good clinical course but 54.7% of the patients developed sequelae after infection. The pneumonia score, blood oxygen saturation level, CRP, and troponin levels at admission were significantly related to sequelae development (p
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