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临床实验室:新冠病毒疾病诊断与管理中的关键角色

The Clinical Laboratory: A Key Player in Diagnosis and Management of COVID-19.

作者信息

Tomo Sojit, Karli Sreenivasulu, Dharmalingam Karthick, Yadav Dharmveer, Sharma Praveen

机构信息

Department of Biochemistry, All India institute of Medical Sciences, Jodhpur, Rajasthan, India.

出版信息

EJIFCC. 2020 Nov 20;31(4):326-346. eCollection 2020 Nov.

Abstract

The Coronavirus disease 2019 (COVID-19) outbreak, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), had emerged as a pandemic affecting almost all countries in the world in a short span after it was first reported in December. Clinical laboratory have a crucial role in mitigating this new pandemic. Timely and accurate diagnosis of COVID-19 is of paramount importance for detecting cases early and to prevent transmission. Clinical Laboratories have adopted different test modalities and processes to tackle this unprecedented situation with directives from regulatory bodies such as the WHO. The varying presentations, as well as complications attributed to comorbidities in COVID-19, have created hurdles in the management of these patients. Various clinical laboratory parameters have been investigated for their potential for diagnosis and prognosis of the disease, prediction of complications and monitoring of treatment response. Different routine and uncommon parameters have been shown to have the diagnostic and prognostic capacity. This update discusses the role of the laboratory in diagnosis, prognosis and monitoring of treatment response. Different methodologies for diagnostic testing as well as various clinical laboratory parameters having diagnostic and predictive powers have been discussed. This compilation organises relevant available information on various clinical laboratory parameters and their role in COVID-19 mitigating pandemic.

摘要

2019年冠状病毒病(COVID-19)疫情由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起,自12月首次报告以来,在短时间内已演变成一场影响世界几乎所有国家的大流行病。临床实验室在缓解这场新的大流行病方面发挥着关键作用。及时、准确地诊断COVID-19对于早期发现病例和预防传播至关重要。临床实验室已根据世界卫生组织等监管机构的指示,采用了不同的检测方式和流程来应对这一前所未有的情况。COVID-19中不同的临床表现以及合并症导致的并发症,给这些患者的管理带来了障碍。人们对各种临床实验室参数在疾病诊断和预后、并发症预测以及治疗反应监测方面的潜力进行了研究。不同的常规和非常规参数已被证明具有诊断和预后能力。本综述讨论了实验室在诊断、预后和治疗反应监测中的作用。文中讨论了诊断检测的不同方法以及具有诊断和预测能力的各种临床实验室参数。本汇编整理了有关各种临床实验室参数及其在缓解COVID-19大流行中作用的相关可用信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/467f/7745302/3d21fb904da7/ejifcc-31-326-g001.jpg

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