Thomas-Rüddel D, Winning J, Dickmann P, Ouart D, Kortgen A, Janssens U, Bauer M
Klinik für Anästhesiologie und Intensivmedizin, Universitätsklinikum Jena, Am Klinikum 1, 07747, Jena, Deutschland.
IFB Sepsis und Sepsisfolgen, Universitätsklinikum Jena, Jena, Deutschland.
Anaesthesist. 2020 Apr;69(4):225-235. doi: 10.1007/s00101-020-00758-x.
The current outbreak of coronavirus disease (COVID-19) has reached Germany. The majority of people infected present with mild disease, but there are severe cases that need intensive care. Unlike other acute infectious diseases progressing to sepsis, the severe courses of COVID19 seemingly show prolonged progression from onset of first symptoms to life-threatening deterioration of (primarily) lung function. Diagnosis relies on PCR using specimens from the respiratory tract. Severe ARDS reflects the hallmark of a critical course of the disease. Preventing nosocomial infections (primarily by correct use of personal protective equipment) and maintenance of hospitals' operational capability are of utmost importance. Departments of Anaesthesia, Intensive Care and emergency medicine will envisage major challenges.
当前的冠状病毒病（COVID-19）疫情已蔓延至德国。大多数感染者症状较轻，但也有需要重症监护的严重病例。与其他进展为脓毒症的急性传染病不同，COVID-19的严重病程似乎显示出从首次出现症状到（主要是）肺功能危及生命的恶化之间的进展较为缓慢。诊断依赖于使用呼吸道标本进行的PCR检测。严重急性呼吸窘迫综合征（ARDS）是该疾病危急病程的标志。预防医院感染（主要通过正确使用个人防护装备）以及维持医院的运营能力至关重要。麻醉科、重症监护科和急诊科将面临重大挑战。
