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了解血管在 2019 年冠状病毒病(COVID-19)神经表现中的作用。

Understanding the Role of Blood Vessels in the Neurologic Manifestations of Coronavirus Disease 2019 (COVID-19).

机构信息

Schepens Eye Research Institute of Massachusetts Eye and Ear, Boston, Massachusetts; Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts.

Schepens Eye Research Institute of Massachusetts Eye and Ear, Boston, Massachusetts; Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts.

出版信息

Am J Pathol. 2021 Nov;191(11):1946-1954. doi: 10.1016/j.ajpath.2021.04.017. Epub 2021 Jun 11.

Abstract

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was originally identified as an outbreak in Wuhan, China, toward the end of 2019 and quickly became a global pandemic, with a large death toll. Originally identified as a respiratory disease, similar to previously discovered SARS and Middle East respiratory syndrome (MERS), concern has since been raised about the effects of SARS-CoV-2 infection on the vasculature. This viral-vascular involvement is of particular concern with regards to the small vessels present in the brain, with mounting evidence demonstrating that SARS-CoV-2 is capable of crossing the blood-brain barrier. Severe symptoms, termed coronavirus disease 2019 (COVID-19), often result in neurologic complications, regardless of patient age. These neurologic complications range from mild to severe across all demographics; however, the long-term repercussions of neurologic involvement on patient health are still unknown.

摘要

严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)最初在中国武汉被发现,发生在 2019 年末,并迅速成为全球性大流行,导致大量死亡。最初被确定为一种呼吸道疾病,类似于以前发现的 SARS 和中东呼吸综合征(MERS),此后人们开始担心 SARS-CoV-2 感染对血管的影响。这种病毒与血管的相互作用特别令人关注,因为大脑中的小血管存在这种相互作用,越来越多的证据表明 SARS-CoV-2 能够穿过血脑屏障。严重症状,称为 2019 年冠状病毒病(COVID-19),无论患者年龄大小,通常都会导致神经系统并发症。这些神经系统并发症在所有人群中从轻度到重度不等;然而,神经系统受累对患者健康的长期影响尚不清楚。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1758/8591504/94766f610e97/gr1.jpg

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