Covid-19:胃肠病学观点

I. Filho
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引用次数: 0

摘要

由SARS-CoV-2引起的临床综合征被称为COVID-19,并于2020年3月成为大流行。发热、干咳和呼吸困难是本病的主要临床表现。然而,感染患者也会出现腹泻、恶心、呕吐和腹部不适等症状。尽管自近期疫情的第二阶段以来,中国的流行率有所上升,但有关新冠肺炎胃肠道表现的科学证据却很少受到关注。本研究旨在报告COVID-19患者的胃肠道体征和病理表现,并讨论粪便传播的可能性。SARS-CoV-2可以穿透胃肠道上皮细胞,使患者的粪便具有潜在传染性。虽然可以在粪便中检测到病毒RNA,但尚不清楚是否发生粪口传播。结合病例报告和与消化系统相关的回顾性临床研究,对COVID-19的胃肠道特征和腹部表现进行综述。重要的是要知道,随着大流行的传播,新的研究发表了,关于胃肠道症状的知识得到了更好的了解和报道。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Covid-19: gastroenterology perspectives
The clinical syndrome caused by SARS-CoV-2 was called COVID-19 and became a pandemic from March 2020. Fever, dry cough, and dyspnoea are the predominant clinical manifestations of the disease. However, symptoms such as diarrhea, nausea, vomiting, and abdominal discomfort can also be found in infected patients. Despite the increased prevalence since the second phase of the recent epidemic in China, scientific evidence on the gastrointestinal manifestations of COVID-19 has received little attention. This study aimed to report gastrointestinal signs and pathological findings in patients with COVID-19, in addition to discussing the possibility of fecal transmission. SARS-CoV-2 penetrates gastrointestinal epithelial cells, making patients' feces potentially infectious. Although viral RNA can be detected in feces, it is not clear whether fecal-oral transmission occurs. The gastrointestinal characteristics and abdominal manifestations of COVID-19 were reviewed based on case reports and retrospective clinical studies related to the digestive system. It is essential to know that, as the pandemic spreads, new studies are published, and knowledge about gastrointestinal symptoms is better known and reported.
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