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冠状病毒——新的旧威胁。

Coronaviruses - a new old menace.

机构信息

Katedra Nauk Przedklinicznych, Wydział Medycyny Weterynaryjnej SGGW, Warszawa.

Instituto Nacional de Enfermedades Respiratorias, Ciudad de México, Mexico.

出版信息

Postepy Biochem. 2021 Jan 5;66(4):303-308. doi: 10.18388/pb.2020_357. Print 2020 Dec 31.

Abstract

The current pandemic caused by novel coronavirus SARS-CoV-2 pandemic has been described as a global health emergency. The outbreak of this virus has raised a number of questions: what exactly is SARS-CoV-2? How transmissible the novel coronavirus is? How severely affected are patients infected with SARS-CoV-2? What are the risk factors for COVID-19? What are the differences between this novel coronavirus and other coronaviruses? To answer these questions, a comparative study of three pathogenic coronaviruses that primarily invade the human respiratory system and may cause death, namely, severe acute respiratory syndrome (SARS-CoV-1), Middle East respiratory syndrome (MERS-CoV) and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Middle East respiratory syndrome coronavirus (MERS-CoV). This review describes the source of origin, transmission, and pathogenicity of these viruses. Prevention of SARS-CoV-2 spreading entails home isolation of suspected cases and those with mild illnesses and strict infection control measures at hospitals that include contact and droplet precautions. The novel coronavirus spreads faster than its two predecessors - the SARS-CoV-1 and MERS-CoV - but has lower fatality rate. The global impact of this new pandemic is still uncertain, but it is a challenge to healthcare systems around the world.

摘要

当前由新型冠状病毒 SARS-CoV-2 引起的大流行被描述为全球卫生紧急事件。这种病毒的爆发引发了许多问题:新型冠状病毒到底是什么?这种新型冠状病毒的传染性有多强?感染 SARS-CoV-2 的患者病情有多严重?COVID-19 的危险因素有哪些?这种新型冠状病毒与其他冠状病毒有何区别?为了回答这些问题,对三种主要侵犯人类呼吸系统并可能导致死亡的致病性冠状病毒进行了比较研究,即严重急性呼吸综合征冠状病毒 1(SARS-CoV-1)、中东呼吸综合征冠状病毒(MERS-CoV)和严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)中东呼吸综合征冠状病毒(MERS-CoV)。这篇综述描述了这些病毒的起源、传播和致病性。预防 SARS-CoV-2 的传播需要对疑似病例和轻症病例进行家庭隔离,并在医院采取严格的感染控制措施,包括接触和飞沫预防措施。新型冠状病毒的传播速度比其两个前身 SARS-CoV-1 和 MERS-CoV 更快,但死亡率较低。这种新的大流行的全球影响仍不确定,但它是对全球医疗保健系统的挑战。

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