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基于现有证据的 COVID-19 和血液学表现:一个谜题,许多部分缺失。

COVID-19 and hematology findings based on the current evidences: A puzzle with many missing pieces.

机构信息

Department of Pathology, Mashhad University of Medical Sciences, Mashhad, Iran.

Student Research Committee, Gonabad University of Medical Sciences, Gonabad, Iran.

出版信息

Int J Lab Hematol. 2021 Apr;43(2):160-168. doi: 10.1111/ijlh.13412. Epub 2020 Dec 2.

Abstract

In December 2019, a new type of coronavirus was detected for the first time in Wuhan, Hubei Province, China. According to the reported data, the emerging coronavirus has spread worldwide, infecting more than fifty-seven million individuals, leading to more than one million deaths. The current study aimed to review and discuss the hematological findings of COVID-19. Laboratory changes and hematologic abnormalities have been reported repeatedly in COVID-19 patients. WBC count and peripheral blood lymphocytes are normal or slightly reduced while these indicators may change with the progression of the disease. In addition, several studies demonstrated that decreased hemoglobin levels in COVID-19 patients were associated with the severity of the disease. Moreover, thrombocytopenia, which is reported in 5%-40% of patients, is known to be associated with poor prognosis of the disease. COVID-19 can present with various hematologic manifestations. In this regard, accurate evaluation of laboratory indicators at the beginning and during COVID-19 can help physicians to adjust appropriate treatment and provide special and prompt care for those in need.

摘要

2019 年 12 月,在中国湖北省武汉市首次发现了一种新型冠状病毒。根据报告数据,这种新兴冠状病毒已在全球范围内传播,感染了超过五千七百万个人,导致超过一百万人死亡。本研究旨在回顾和讨论 COVID-19 的血液学发现。COVID-19 患者的实验室变化和血液学异常已被反复报道。白细胞计数和外周血淋巴细胞正常或略有减少,而这些指标可能会随着疾病的进展而变化。此外,一些研究表明,COVID-19 患者的血红蛋白水平降低与疾病的严重程度有关。此外,血小板减少症在 5%-40%的患者中报告,已知与疾病的不良预后有关。COVID-19 可能表现出各种血液学表现。在这方面,在 COVID-19 期间和开始时准确评估实验室指标可以帮助医生调整适当的治疗,并为有需要的人提供特殊和及时的护理。

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