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新冠病毒性肺炎后继发机化性肺炎。

Organizing pneumonia following Covid19 pneumonia.

机构信息

2nd Medical Department with Pneumology, Klinik Ottakring, Montleartstraße 37, 1160, Vienna, Austria.

Karl-Landsteiner-Institute for Lung Research and Pulmonary Oncology, Montleartstraße 37, 1160, Vienna, Austria.

出版信息

Wien Klin Wochenschr. 2021 Sep;133(17-18):979-982. doi: 10.1007/s00508-021-01852-9. Epub 2021 Apr 16.

Abstract

The potential mid-term and long-term consequences after severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections are as yet unknown. This is the first report of bronchoscopically verified organizing pneumonia as a complication of coronavirus disease 2019 (Covid19). It caused persisting dyspnea, impaired pulmonary function, and radiological abnormalities over 5 weeks after onset of symptoms. While organizing pneumonia frequently requires treatment with systemic corticosteroids, in this case it resolved spontaneously without treatment after 6 weeks. Healthcare professionals should consider organizing pneumonia in patients with persisting respiratory symptoms after Covid19.

摘要

严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)感染后的潜在中期和长期后果尚不清楚。这是首例经支气管镜证实的机化性肺炎作为 2019 年冠状病毒病(Covid19)并发症的报告。它导致症状发作后 5 周持续呼吸困难、肺功能受损和影像学异常。虽然机化性肺炎通常需要全身皮质类固醇治疗,但在这种情况下,它在 6 周后未经治疗自发消退。医疗保健专业人员应考虑将机化性肺炎纳入 Covid19 后持续存在呼吸道症状的患者中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/185a/8443502/971c90e8a4a2/508_2021_1852_Fig1_HTML.jpg

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