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新冠肺炎的潜在特效疗法。

Potential specific therapies in COVID-19.

机构信息

Internal Medicine Department, Amita-Presence Saint Joseph Hospital, Chicago, 2900 N Lakeshore Drive, Chicago, IL 60657, USA.

Internal Medicine Department, Louis A Weiss Memorial Hospital, Chicago, IL, USA.

出版信息

Ther Adv Respir Dis. 2020 Jan-Dec;14:1753466620926853. doi: 10.1177/1753466620926853.

Abstract

COVID-19 has grown into a global pandemic that has strained healthcare throughout the world. There is a sense of urgency in finding a cure for this deadly virus. In this study, we reviewed the empiric options used in common practice for COVID-19, based on the literature available online, with an emphasis on human experiences with these treatments on severe acute respiratory syndrome-associated coronavirus (SARS-COV-1) and other viruses. Convalescent blood products are the most promising potential treatment for use in COVID-19. The use of chloroquine or hydroxychloroquine (HCQ), remdesivir, and tocilizumab are some of the other promising potential therapies; however, they are yet to be tested in randomized clinical trials (RCTs). The use of lopinavir-ritonavir did not prove beneficial in a large RCT. The use of corticosteroids should be avoided in COVID-19 pneumonia unless used for other indications, based on the suggestion of harm in patients with SARS-COV-1 and Middle Eastern Respiratory Syndrome (MERS) infection.

摘要

新冠疫情已经在全球蔓延,给世界各地的医疗保健系统带来了巨大压力。目前当务之急是寻找针对这种致命病毒的治疗方法。在本研究中,我们根据网上可获得的文献,综述了新冠疫情中常见的经验性治疗方法,重点关注了人类在严重急性呼吸系统综合征冠状病毒(SARS-COV-1)和其他病毒方面的治疗经验。恢复期血液制品是最有希望用于治疗新冠的方法。氯喹或羟氯喹(HCQ)、瑞德西韦和托珠单抗等也是有前途的潜在疗法,但它们仍需在随机临床试验(RCT)中进行测试。洛匹那韦-利托那韦在一项大型 RCT 中并未显示出益处。基于 SARS-COV-1 和中东呼吸综合征(MERS)感染患者的危害提示,不建议在新冠病毒肺炎中使用皮质类固醇,除非用于其他指征。

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