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新冠疫情中的嗅觉功能障碍。

Olfactory Dysfunction in the COVID-19 Outbreak.

机构信息

Allergy Department, Consorci Sanitari de Terrassa, Barcelona, Spain.

Unidad Alergo Rino, Centro Médico Teknon, Barcelona, Spain.

出版信息

J Investig Allergol Clin Immunol. 2020;30(5):317-326. doi: 10.18176/jiaci.0567. Epub 2020 May 14.

Abstract

The first cases of coronavirus 2019 disease (COVID-19) occurred in Wuhan, China, and the disease rapidly become a public health emergency of international proportions. COVID-19 can cause mild-to-severe acute respiratory syndrome (SARS) and is caused by the SARS-CoV-2 coronavirus. The clinical manifestations of COVID-19 include fever, dry cough, fatigue, sputum production, shortness of breath, sore throat, and headache. We performed this narrative review to analyze the current literature on postviral olfactory dysfunction related to the SARSCoV- 2 pandemic. Since the initial anecdotal reports from China, increasingly frequent international reports on COVID-19 indicate that 5% to 85% of affected patients lose their sense of smell, thus highlighting the very heterogeneous nature of the literature in this area. Therefore, we advise home isolation measures and/or social distancing, as well as tests to detect SARS-CoV-2 when possible, in patients with sudden and severe loss of smell who cannot be promptly evaluated.

摘要

新型冠状病毒 2019 疾病(COVID-19)的首例病例发生在中国武汉,该疾病迅速成为国际公共卫生紧急事件。COVID-19 可引起轻度至重度急性呼吸系统综合征(SARS),由 SARS-CoV-2 冠状病毒引起。COVID-19 的临床症状包括发热、干咳、乏力、咳痰、呼吸急促、喉咙痛和头痛。我们进行了这篇综述分析了与 SARS-CoV-2 大流行相关的病毒后嗅觉功能障碍的当前文献。自中国最初的轶事报告以来,越来越多的关于 COVID-19 的国际报告表明,5%至 85%的受影响患者失去嗅觉,从而突出了该领域文献的非常异质性。因此,我们建议对突然出现严重嗅觉丧失且无法及时评估的患者采取家庭隔离措施和/或社交隔离,以及在可能的情况下进行 SARS-CoV-2 检测。

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