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SARS-CoV-2 感染的影响,特别参考血液学方面。

The impact of the SARS-CoV-2 infection, with special reference to the hematological setting.

机构信息

Department of Precision Medicine, University of Campania Luigi Vanvitelli, Naples, Italy.

Anesthesiology Division, Buon Consiglio Fatebenefratelli Hospital, Naples, Italy.

出版信息

J Med Virol. 2021 Jan;93(1):223-233. doi: 10.1002/jmv.26197. Epub 2020 Jul 11.

Abstract

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a disease known from a few months, caused by a recently arisen virus and, consequently, it is little known. The disease has a benign course in most infected subjects (children and young adults), is often symptomatic in adults over the age of 50 and often serious and life threatening in people with comorbidities and the elderly. The few data published on coronavirus disease-2019 (COVID-19) in the blood-oncology field report a serious clinical presentation, a serious course of the disease, and a high mortality rate, as has also been reported for other cancer contexts. The current strategy for treating patients with SARS-CoV-2 includes antivirals that are effective against other viral infections and drugs that can moderate the cytokine storm. There is no specific vaccine and consequently all possible precautions must be taken to prevent SARS-CoV-2 infection in the areas of oncology, oncohematology, and bone marrow transplantation. In this reviewer's article, we report the information currently available on SARS-CoV-2 infection to help young doctors and hematologists to successfully manage patients with COVID-19.

摘要

严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)是一种几个月前才被认识的疾病,由一种新出现的病毒引起,因此知之甚少。在大多数感染患者(儿童和年轻人)中,这种疾病的病程呈良性,在 50 岁以上的成年人中常出现症状,在合并症患者和老年人中常很严重且危及生命。少数发表在血液肿瘤学领域的关于 2019 年冠状病毒病(COVID-19)的研究报告显示,该疾病的临床表现严重,病程严重,死亡率高,在其他癌症环境中也有报道。目前治疗 SARS-CoV-2 患者的策略包括对其他病毒感染有效的抗病毒药物和可调节细胞因子风暴的药物。目前尚无特定疫苗,因此必须在肿瘤学、血液肿瘤学和骨髓移植领域采取一切可能的预防措施来预防 SARS-CoV-2 感染。在这篇综述文章中,我们报告了目前关于 SARS-CoV-2 感染的信息,以帮助年轻医生和血液学家成功治疗 COVID-19 患者。

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