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新型冠状病毒:对临床特征、诊断、发病机制及治疗选择的当前认识

Novel Coronavirus: Current Understanding of Clinical Features, Diagnosis, Pathogenesis, and Treatment Options.

作者信息

Mungroo Mohammad Ridwane, Khan Naveed Ahmed, Siddiqui Ruqaiyyah

机构信息

Department of Biology, Chemistry and Environmental Sciences, College of Arts and Sciences, American University of Sharjah, University City, Sharjah 26666, United Arab Emirates.

出版信息

Pathogens. 2020 Apr 17;9(4):297. doi: 10.3390/pathogens9040297.

Abstract

Since December 2019, coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has resulted in devastating consequences worldwide and infected more than 350,000 individuals and killed more than 16,000 people. SARS-CoV-2 is the seventh member of the coronavirus family to affect humans. Symptoms of COVID-19 include fever (88%), cough (68%), vomiting (5%) and diarrhoea (3.7%), and transmission of SARS-CoV-2 is thought to occur from human to human via respiratory secretions released by the infected individuals when coughing and sneezing. COVID-19 can be detected through computed tomography scans and confirmed through molecular diagnostics tools such as polymerase chain reaction. Currently, there are no effective treatments against SARS-CoV-2, hence antiviral drugs have been used to reduce the development of respiratory complications by reducing viral load. The purpose of this review is to provide a comprehensive update on the pathogenesis, clinical aspects, diagnosis, challenges and treatment of SARS-CoV-2 infections.

摘要

自2019年12月以来,严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引发的2019冠状病毒病(COVID-19)在全球范围内造成了毁灭性后果,感染人数超过35万,死亡人数超过1.6万。SARS-CoV-2是影响人类的冠状病毒家族的第七个成员。COVID-19的症状包括发热(88%)、咳嗽(68%)、呕吐(5%)和腹泻(3.7%),SARS-CoV-2被认为是通过感染者咳嗽和打喷嚏时释放的呼吸道分泌物在人与人之间传播。COVID-19可通过计算机断层扫描检测,并通过聚合酶链反应等分子诊断工具确诊。目前,尚无针对SARS-CoV-2的有效治疗方法,因此已使用抗病毒药物通过降低病毒载量来减少呼吸道并发症的发生。本综述的目的是全面更新SARS-CoV-2感染的发病机制、临床情况、诊断、挑战和治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6edc/7238102/e84c1e994fc5/pathogens-09-00297-g001.jpg

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