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中国武汉 COVID-19 患者恢复期血浆治疗。

Treatment with convalescent plasma for COVID-19 patients in Wuhan, China.

机构信息

Department of Respiratory Medicine, Jinling Hospital, Nanjing University School of Medicine, Nanjing, China.

Department of Infectious Disease, Unit 4-1, Wuhan Huoshenshan Hospital, Wuhan, China.

出版信息

J Med Virol. 2020 Oct;92(10):1890-1901. doi: 10.1002/jmv.25882. Epub 2020 Jun 29.

DOI:10.1002/jmv.25882
PMID:32293713
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7262027/
Abstract

The discovery of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and the outbreak of coronavirus disease 2019 (COVID-19) are causing public health emergencies. A handful pieces of literature have summarized its clinical and radiologic features, whereas therapies for COVID-19 are rather limited. To evaluate the efficacy of convalescent plasma therapy in COVID-19 patients, we did this timely descriptive study. Six laboratory-confirmed COVID-19 patients were enrolled and received the transfusion of ABO-compatible convalescent plasma. The efficacy of this intervention was determined by the alleviation of symptoms, changes in radiologic abnormalities and laboratory tests. No obvious adverse effect observed during the treatment. Transfusion of convalescent plasma led to a resolution of ground-glass opacities and consolidation in patients #1, #2, #3, #4, and #6. In patients #1 and #5 who presented with SARS-CoV-2 in throat swab, convalescent plasma therapy elicited an elimination of the virus. Serologic analysis indicated an immediate increase in anti-SARS-CoV-2 antibody titers in patients #2 and #3, but not in patient #1. This study indicates that convalescent plasma therapy is effective and specific for COVID-19. This intervention has a special significance for eliminating SARS-CoV-2 and is believed to be a promising state-of-the-art therapy during COVID-19 pandemic crisis.

摘要

严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)的发现和 2019 年冠状病毒病(COVID-19)的爆发正在引发公共卫生紧急事件。有少量文献总结了其临床和影像学特征,而 COVID-19 的治疗方法相当有限。为了评估恢复期血浆疗法在 COVID-19 患者中的疗效,我们及时进行了这项描述性研究。共纳入 6 例经实验室确诊的 COVID-19 患者,并接受了 ABO 型相合的恢复期血浆输注。通过症状缓解、影像学异常和实验室检查的变化来确定该干预措施的疗效。在治疗过程中未观察到明显的不良反应。在患者 #1、#2、#3、#4 和 #6 中,输注恢复期血浆导致磨玻璃影和实变的吸收。在咽拭子中出现 SARS-CoV-2 的患者 #1 和 #5 中,恢复期血浆治疗引起了病毒的消除。血清学分析表明患者 #2 和 #3 的抗 SARS-CoV-2 抗体滴度立即增加,但患者 #1 没有增加。本研究表明恢复期血浆疗法对 COVID-19 是有效且特异的。这种干预措施对于消除 SARS-CoV-2 具有特殊意义,被认为是 COVID-19 大流行期间有前途的先进治疗方法。

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