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严重急性呼吸综合征冠状病毒2的综合综述

A Comprehensive Review of Severe Acute Respiratory Syndrome Coronavirus 2.

作者信息

Baek Woong Kee, Sohn Soo-Yeon, Mahgoub Ahmed, Hage Robert

机构信息

Anatomical Sciences, St. George's University School of Medicine, St. George, GRD.

Dentistry, Virginia Commonwealth University School of Dentistry, Richmond, USA.

出版信息

Cureus. 2020 May 3;12(5):e7943. doi: 10.7759/cureus.7943.

Abstract

Severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2), the virus strain that causes coronavirus disease 2019 (COVID-19), was first identified in Wuhan, China in December 2019. It spread to several countries across continents and infected more than one million people within three months. While there is no consensus on the treatment of the disease yet, understanding the virus and its transmission is a cardinal priority. SARS-CoV-2 can be transmitted through bodily fluid. Upon inoculation, the surface enzyme angiotensin-converting enzyme 2 (ACE2) acts as a receptor protein for viral entry. The mean incubation period is 5.1 days, and infected individuals can exhibit a variety of symptoms from fever, cough, dyspnea, and respiratory failure to even multiorgan failure. Given the current situation, it is of paramount importance to understand the virus as thoroughly as possible. In this review, we discuss the background, epidemiology, possible pathophysiology, clinical presentation, and diagnostic studies related to SARS-CoV-2 infection. We also elaborate on the current research and evidence on treatment options and vaccine development based on the literature.

摘要

严重急性呼吸综合征冠状病毒2(SARS-CoV-2)是导致2019冠状病毒病(COVID-19)的病毒毒株,于2019年12月在中国武汉首次被发现。它传播到各大洲的多个国家,并在三个月内感染了超过一百万人。虽然对于该疾病的治疗尚未达成共识,但了解病毒及其传播是首要任务。SARS-CoV-2可通过体液传播。接种后,表面酶血管紧张素转换酶2(ACE2)作为病毒进入的受体蛋白。平均潜伏期为5.1天,受感染个体可表现出从发热、咳嗽、呼吸困难、呼吸衰竭到多器官衰竭等多种症状。鉴于当前形势,尽可能全面地了解该病毒至关重要。在这篇综述中,我们讨论了与SARS-CoV-2感染相关的背景、流行病学、可能的病理生理学、临床表现和诊断研究。我们还根据文献详细阐述了目前关于治疗选择和疫苗开发的研究及证据。

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