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新型冠状病毒肺炎所致感染的组织病理学发现综合综述。

A comprehensive review of histopathological findings of infections induced by COVID-19.

作者信息

Balaky Salah Tofik Jalal, Zaki Abdullah Sahar Mohammed, Alexander Markov, Maashi Marwah Suliman, Alkaim Ayad F, Shahriyari Sara, Tabari Fariba, Kazemi Elham

机构信息

Medical Microbiology Department , College of Health Sciences, Hawler Medical University, Kurdistan Region, Irbil, Iraq.

Tyumen State Medical University, Tyumen, Russian Federation.

出版信息

Cell Mol Biol (Noisy-le-grand). 2020 Oct 31;66(7):143-151.

PMID:33287945
Abstract

The severe acute respiratory syndrome (SARS)-Coronavirus (CoV2) virus, first identified in Wuhan, China, caused the coronavirus disease 2019 (COVID-19) which soon became a global pandemic, as labelled by the World Health Organization (WHO). The transmission method of the infection is primarily through droplets of various sizes. The SARS-CoV2 virus leads to a severe respiratory illness which in the first place causes the simulation of the acute respiratory syndrome. In order to diagnose of COVID-19 efficiently, samples with infection probability need to be examined through histopathological methods. Survival chances of the infected can remarkably increase if the virus is diagnosed timely by reverse transcription-polymerase chain reaction (RT-PCR) or computed tomography (CT) scan of the chest. One of the destructive effects of COVID-19 is the formation of ground-glass opacity (GGO) in the lungs which might be regarded to be equivalent to high-altitude pulmonary edema (HAPE). COVID-19 acts very similarly to SARS and Middle East Respiratory Syndrome (MERS) which can be inactivated by the chemical compounds of ethanol and sodium hypochlorite. Epidemiologic characteristics of COVID-19 have been indicated by numerous studies; however, there is still a lack of details of pathologic changes in the lung. The present comprehensive review is an attempt to assess and cover the current state of knowledge on COVID-19 disease based on the histopathologic studies conducted before May 2020.

摘要

严重急性呼吸综合征(SARS)冠状病毒2(CoV2)病毒最初在中国武汉被发现,引发了2019冠状病毒病(COVID-19),世界卫生组织(WHO)将其列为全球大流行病。该感染的传播方式主要是通过各种大小的飞沫。SARS-CoV2病毒会导致严重的呼吸系统疾病,首先会引发急性呼吸综合征的症状。为了有效诊断COVID-19,需要通过组织病理学方法检查具有感染可能性的样本。如果通过逆转录聚合酶链反应(RT-PCR)或胸部计算机断层扫描(CT)及时诊断出病毒,感染者的存活几率会显著提高。COVID-19的破坏性影响之一是肺部出现磨玻璃影(GGO),这可能被认为等同于高原肺水肿(HAPE)。COVID-19的作用与SARS和中东呼吸综合征(MERS)非常相似,乙醇和次氯酸钠等化合物可将其灭活。众多研究已经表明了COVID-19的流行病学特征;然而,肺部病理变化的细节仍然缺乏。本综述旨在根据2020年5月之前进行的组织病理学研究,评估并涵盖关于COVID-19疾病的当前知识状况。

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