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大剂量地塞米松脉冲疗法治疗重症COVID-19患者高炎症期的良好结局:10例系列病例

Favourable outcome of severe COVID-19 patients in hyperinflammatory phase with high dose dexamethasone pulse therapy: A series of 10 cases.

作者信息

Pradhan Swetalina, Sharma Shyama, Kumar Anup, Singh Prabhat Kumar

机构信息

Department of Dermatology, All India Institute of Medical Sciences, Patna, Bihar, India.

Department of Medicine, All India Institute of Medical Sciences, Patna, Bihar, India.

出版信息

J Family Med Prim Care. 2021 Dec;10(12):4598-4604. doi: 10.4103/jfmpc.jfmpc_963_21. Epub 2021 Dec 27.

DOI:10.4103/jfmpc.jfmpc_963_21
PMID:35280644
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8884322/
Abstract

The hyperinflammatory phase of COVID-19 occurring because of cytokine storm is the leading cause of mortality and morbidity in the affected patients. Various drugs with no definite cure are being tried to tackle the cytokine storm. Recently high dose corticosteroids are being used to arrest the surge of cytokines. In the current case series, we will be discussing the outcome of high dose dexamethasone pulse therapy in 10 cases of COVID-19 in hyperinflammatory phase who were cured of the disease along with improvement in laboratory parameters without any complications to the therapy.

摘要

由细胞因子风暴引起的COVID-19高炎症期是受影响患者死亡和发病的主要原因。目前正在尝试使用各种尚无明确疗效的药物来应对细胞因子风暴。最近,高剂量皮质类固醇被用于抑制细胞因子的激增。在本病例系列中,我们将讨论高剂量地塞米松脉冲疗法对10例处于高炎症期的COVID-19患者的治疗结果,这些患者均已治愈,实验室指标有所改善,且治疗无任何并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f88/8884322/8d890156d666/JFMPC-10-4598-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f88/8884322/8d890156d666/JFMPC-10-4598-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f88/8884322/8d890156d666/JFMPC-10-4598-g001.jpg

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本文引用的文献

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Corticosteroid Pulses for Hospitalized Patients with COVID-19: Effects on Mortality.COVID-19 住院患者的皮质类固醇脉冲治疗:对死亡率的影响。
Mediators Inflamm. 2021 Mar 12;2021:6637227. doi: 10.1155/2021/6637227. eCollection 2021.
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High-dose corticosteroid pulse therapy increases the survival rate in COVID-19 patients at risk of hyper-inflammatory response.大剂量皮质类固醇脉冲疗法可提高 COVID-19 高危炎症反应患者的生存率。
PLoS One. 2021 Jan 28;16(1):e0243964. doi: 10.1371/journal.pone.0243964. eCollection 2021.
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Tocilizumab in Patients Hospitalized with Covid-19 Pneumonia.
托珠单抗治疗新冠肺炎合并肺炎住院患者的疗效。
N Engl J Med. 2021 Jan 7;384(1):20-30. doi: 10.1056/NEJMoa2030340. Epub 2020 Dec 17.
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Association Between Administration of Systemic Corticosteroids and Mortality Among Critically Ill Patients With COVID-19: A Meta-analysis.COVID-19 重症患者全身使用皮质类固醇与死亡率的关联:一项荟萃分析。
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Front Immunol. 2020 Jul 10;11:1708. doi: 10.3389/fimmu.2020.01708. eCollection 2020.
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