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新冠肺炎患者恢复期血浆疗法对病毒脱落和生存的影响。

Effect of Convalescent Plasma Therapy on Viral Shedding and Survival in Patients With Coronavirus Disease 2019.

机构信息

Department of Infectious Diseases, The First Affiliated Hospital of Zhengzhou University, Zhengzhou City, China.

Department of Infectious Diseases, The Sixth People's Hospital of Zhengzhou City, Zhengzhou City, China.

出版信息

J Infect Dis. 2020 Jun 16;222(1):38-43. doi: 10.1093/infdis/jiaa228.

Abstract

Currently, coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has been reported in almost all countries globally. No effective therapy has been documented for COVID-19, and the role of convalescent plasma therapy is unknown. In the current study, 6 patients with COVID-19 and respiratory failure received convalescent plasma a median of 21.5 days after viral shedding was first detected, all tested negative for SARS-CoV-2 RNA within 3 days after infusion, and 5 eventually died. In conclusion, convalescent plasma treatment can end SARS-CoV-2 shedding but cannot reduce the mortality rate in critically ill patients with end-stage COVID-19, and treatment should be initiated earlier.

摘要

目前,由严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)引起的 2019 年冠状病毒病(COVID-19)已在全球几乎所有国家报告。目前尚未记录到 COVID-19 的有效治疗方法,恢复期血浆疗法的作用尚不清楚。在本研究中,6 例 COVID-19 并呼吸衰竭患者在首次检测到病毒脱落后中位 21.5 天接受了恢复期血浆治疗,所有患者在输注后 3 天内 SARS-CoV-2 RNA 检测均为阴性,最终 5 例死亡。总之,恢复期血浆治疗可以终止 SARS-CoV-2 的脱落,但不能降低终末期 COVID-19 重症患者的死亡率,应更早开始治疗。

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引用本文的文献

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Convalescent Plasma in COVID-19.新冠病毒感染康复期血浆治疗
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