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[新冠后肺部后遗症——随访与治疗]

[Post-COVID sequela of the lung - follow up and treatment].

作者信息

Gogoll Christian, Leo Fabian, Schueller Per Otto, Grohé Christian

出版信息

Dtsch Med Wochenschr. 2021 Oct;146(21):1399-1404. doi: 10.1055/a-1492-8808. Epub 2021 Oct 20.

Abstract

Most people recover completely after an acute infection with the novel corona virus SARS-CoV2. But some people continue to experience symptoms after their recovery. This phenomenon is called post-acute or long-COVID (from week 4 after the infection up to week 12) and persistent post-COVID (symptoms for effects that persist 12 or more weeks after onset). The exact processes that cause long COVID remain unknown.Most of those patients suffer from long-term symptoms of lung damage, including breathlessness, coughing, fatigue and limited ability to exercise. Today, 18 months after the first infections in Europe we have access to the first practical guidelines for the long-/post-COVID syndrome. Further on first prospective studies analysing the incidence of post-COVID are now available.In this review we will discuss some questions about treatment and follow up of patients suffering from pulmonary sequelae after their COVID-19 infection, based on the actual literature.

摘要

大多数人在感染新型冠状病毒SARS-CoV2后会完全康复。但有些人康复后仍会持续出现症状。这种现象被称为急性后或长期新冠(感染后第4周直至第12周)以及持续性新冠后症状(症状持续发作后12周或更长时间)。导致长期新冠的确切过程尚不清楚。这些患者大多患有肺部损伤的长期症状,包括呼吸急促、咳嗽、疲劳和运动能力受限。如今,在欧洲首次出现感染病例18个月后,我们有了首个针对长期/新冠后综合征的实用指南。此外,现在已有首批分析新冠后发病率的前瞻性研究。在本综述中,我们将基于实际文献,讨论一些关于新冠-19感染后肺部后遗症患者的治疗和随访问题。

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