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COVID-19 与合并症:对感染患者的有害影响。

COVID-19 and comorbidities: Deleterious impact on infected patients.

机构信息

Department of Clinical Laboratory Sciences, College of Applied Medical Sciences, Jouf University, Al Jouf, Saudi Arabia.

Department of Clinical Laboratory Sciences, College of Applied Medical Sciences, Jouf University, Al Jouf, Saudi Arabia.

出版信息

J Infect Public Health. 2020 Dec;13(12):1833-1839. doi: 10.1016/j.jiph.2020.07.014. Epub 2020 Aug 4.

Abstract

The pandemic situation with the emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) from China has endangered human lives. Coronavirus disease 2019 (COVID-19) is presented with asymptomatic, mild, or severe pneumonia-like symptoms. COVID-19 patients with diabetes, chronic obstructive pulmonary disease (COPD), cardiovascular diseases (CVD), hypertension, malignancies, HIV, and other comorbidities could develop a life-threatening situation. SARS-CoV-2 utilizes ACE-2 receptors found at the surface of the host cells to get inside the cell. Certain comorbidities are associated with a strong ACE-2 receptor expression and higher release of proprotein convertase that enhances the viral entry into the host cells. The comorbidities lead to the COVID-19 patient into a vicious infectious circle of life and are substantially associated with significant morbidity and mortality. The comorbid individuals must adopt the vigilant preventive measure and require scrupulous management. In this review, we rigorously focused on the impact of common morbidities in COVID-19 patients and recapitulated the management strategies with recent directions. We found limited resources describing the association of comorbidities in COVID-19; however, our review delineates the broader spectrum of comorbidities with COVID-19 patients.

摘要

由中国出现的严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)引发的大流行情况危及了人类生命。冠状病毒病 2019(COVID-19)表现为无症状、轻症或类似肺炎的重症。患有糖尿病、慢性阻塞性肺疾病(COPD)、心血管疾病(CVD)、高血压、恶性肿瘤、HIV 等合并症的 COVID-19 患者可能会出现危及生命的情况。SARS-CoV-2 利用宿主细胞表面的 ACE-2 受体进入细胞。某些合并症与 ACE-2 受体的强烈表达和更多的蛋白水解酶原释放有关,这增强了病毒进入宿主细胞的能力。这些合并症使 COVID-19 患者陷入了一个致命的感染循环,并与显著的发病率和死亡率密切相关。合并症患者必须采取警惕的预防措施,并需要严格的管理。在这篇综述中,我们严格关注了常见合并症对 COVID-19 患者的影响,并总结了最近的管理策略。我们发现,有限的资源描述了 COVID-19 患者合并症的相关性;然而,我们的综述描绘了 COVID-19 患者更广泛的合并症谱。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86f2/7402107/115e965ab400/gr1_lrg.jpg

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