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新型冠状病毒肺炎(COVID-19)感染患者的急性肺损伤

Acute lung injury in patients with COVID-19 infection.

作者信息

Li Liyang, Huang Qihong, Wang Diane C, Ingbar David H, Wang Xiangdong

机构信息

Zhongshan Hospital Institute of Clinical Science, Shanghai Medical School, Fudan University, Shanghai, China.

Department of Emergency, Sunshine Coast University Hospital, Birtinya, Queensland, Australia.

出版信息

Clin Transl Med. 2020 Jan;10(1):20-27. doi: 10.1002/ctm2.16. Epub 2020 Mar 31.

Abstract

During the 2020 Spring Festival in China, the outbreak of a novel coronavirus, named COVID-19 by WHO, brought on a worldwide panic. According to the clinical data of infected patients, radiologic evidence of lung edema is common and deserves clinical attention. Lung edema is a manifestation of acute lung injury (ALI) and may progress to hypoxemia and potentially acute respiratory distress syndrome (ARDS). Patients diagnosed with ARDS have poorer prognosis and potentially higher mortality. Although no effective treatment is formally approved for COVID-19 infection, support of ventilation with oxygen therapy and sometimes mechanical ventilation is often required. Treatment with systemic and/or local glucocorticoids might be helpful to alleviate the pulmonary inflammation and edema, which may decrease the development and/or consequences of ARDS. In this article, we focus on the lung edema and ALI of patients with this widely transmitted COVID-19 infection in order to provide clinical indications and potential therapeutic targets for clinicians and researchers.

摘要

在中国2020年春节期间,一种新型冠状病毒爆发,世界卫生组织将其命名为COVID-19,引发了全球恐慌。根据感染患者的临床数据,肺水肿的影像学证据很常见,值得临床关注。肺水肿是急性肺损伤(ALI)的一种表现,可能进展为低氧血症,并有可能发展为急性呼吸窘迫综合征(ARDS)。被诊断为ARDS的患者预后较差,死亡率可能更高。尽管目前尚无针对COVID-19感染的正式批准的有效治疗方法,但通常需要通过氧疗进行通气支持,有时还需要机械通气。全身和/或局部使用糖皮质激素治疗可能有助于减轻肺部炎症和水肿,这可能会减少ARDS的发生和/或后果。在本文中,我们重点关注这种广泛传播的COVID-19感染患者的肺水肿和ALI,以便为临床医生和研究人员提供临床指征和潜在的治疗靶点。

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