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癌症合并 COVID-19 患者的临床挑战:老龄化、免疫抑制和合并症。

Clinical challenges in cancer patients with COVID-19: Aging, immunosuppression, and comorbidities.

机构信息

Department of Oncology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.

Department of Cardiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.

出版信息

Aging (Albany NY). 2020 Nov 24;12(23):24462-24474. doi: 10.18632/aging.104205.

Abstract

COVID-19 caused by severe acute respiratory syndrome coronavirus 2 has developed into a global pandemic. COVID-19 poses a huge threat to health care, and the shortage of medical resources caused by COVID-19 brought serious secondary disasters to elderly cancer patients who are particularly dependent on medical resources. The clinical challenges of cancer management, including aging, immunosuppression, and comorbidities, make cancer patients more vulnerable to COVID-19 with different clinical manifestations, disease severity, and outcomes. The review comprehensively analyzed the characteristics of the cancer patients under the pandemic and concluded that cancer patients were more susceptible to COVID-19, and also concluded that they were more likely to develop poor outcomes and the severe form of the disease. Three basic management strategies have been proposed to protect susceptible elderly cancer patients, find reliable indicators to monitor the course of disease, and implement effective prevention measures.

摘要

由严重急性呼吸系统综合征冠状病毒 2 引起的 COVID-19 已发展成全球大流行。COVID-19 对医疗保健构成巨大威胁,而 COVID-19 导致的医疗资源短缺给特别依赖医疗资源的老年癌症患者带来了严重的次生灾害。癌症管理的临床挑战,包括老龄化、免疫抑制和合并症,使癌症患者更容易受到 COVID-19 的影响,表现出不同的临床表现、疾病严重程度和结果。本综述全面分析了大流行下癌症患者的特征,并得出结论,癌症患者更容易感染 COVID-19,也更容易出现不良结局和疾病严重形式。已经提出了三种基本管理策略,以保护易感染的老年癌症患者,寻找可靠的指标来监测疾病过程,并实施有效的预防措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91a9/7762454/89a74307a90a/aging-12-104205-g001.jpg

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