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[急性期和亚急性期的神经康复:我们从第一波 COVID-19 中学到了什么?]

[Neurorehabilitation in the acute and post-acute phase: what did we learn from the first wave of COVID-19?].

作者信息

Diserens Karin, Carda Stefano, Epiney Jean-Benoît, Meyer Ivo, Jöhr Jane

机构信息

Unité de neurorééducation aiguë, Service de neurologie, Département des neurosciences cliniques, CHUV, 1011 Lausanne.

Service de neurorééducation et neuropsychologie, Département des neurosciences cliniques, CHUV, 1011 Lausanne.

出版信息

Rev Med Suisse. 2021 Apr 28;17(736):835-840.

Abstract

The majority of patients with Coronavirus disease 2019 (COVID-19) present mild to moderate illness and recover without hospitalization. Nevertheless, 5 % of cases require hospitalization in the intensive care unit, with 15 % of them showing severe central and peripheral nervous system manifestations. These patients should be considered high risk patients and their management must include prevention of a potential accompanying cascade of negative factors. In order to optimize care, it is essential that signs of neurological damage are searched for as early as in intensive care so that appropriate neurorehabilitation can be started immediately and continued in a specific unit for patients with neurological sequelae at post-acute and outpatient phases.

摘要

大多数2019冠状病毒病(COVID-19)患者表现为轻症至中症,无需住院即可康复。然而,5%的病例需要在重症监护病房住院,其中15%表现出严重的中枢和外周神经系统表现。这些患者应被视为高危患者,其治疗必须包括预防潜在的一系列伴随负面因素。为了优化护理,至关重要的是在重症监护阶段尽早寻找神经损伤迹象,以便立即开始适当的神经康复治疗,并在急性后期和门诊阶段为有神经后遗症的患者在特定科室继续进行治疗。

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