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[病毒性肺炎。新型冠状病毒肺炎]

[Viral pneumonia. COVID-19 pneumonia].

作者信息

Menchén D Alonso, Vázquez J Balsa, Allende J M Barbero, García G Hernández

机构信息

Servicio de Medicina Interna. Hospital Universitario Príncipe de Asturias. Universidad de Alcalá. Alcalá de Henares. Madrid. España.

出版信息

Medicine (Madr). 2022 May;13(55):3224-3234. doi: 10.1016/j.med.2022.05.003. Epub 2022 May 12.

Abstract

Viruses are becoming more and more important as etiological agents of pneumonia, mainly due to improvements in diagnostic techniques. At present, they account for approximately one-third of community-acquired pneumonia cases. They tend to occur in children and elderly patients, causing anything from mild cases to severe cases which require intubation and intensive care. The main causative agents include rhinovirus, influenza virus A or B, metapneumovirus, respiratory syncytial virus, parainfluenza virus, coronavirus, or adenovirus. Infection produced by SARS-CoV-2, the cause of the current COVID-19 pandemic, which has had devastating consequences, is proof of the vital importance of viral pneumonia. This is the main subject of this update. Drawing on the abundant information available, which has been continuously evolving since the beginning of the pandemic, this section will review the main characteristics of the virus, its pathophysiology, and its clinical manifestations as well as the main diagnostic and treatment methods.

摘要

病毒作为肺炎的病原学因素正变得越来越重要,这主要归因于诊断技术的进步。目前,它们约占社区获得性肺炎病例的三分之一。它们往往发生在儿童和老年患者中,可导致从轻症到需要插管和重症监护的重症病例。主要病原体包括鼻病毒、甲型或乙型流感病毒、偏肺病毒、呼吸道合胞病毒、副流感病毒、冠状病毒或腺病毒。由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起的感染,即当前造成毁灭性后果的新型冠状病毒肺炎疫情的病因,证明了病毒性肺炎的至关重要性。这是本次更新的主要主题。借鉴自大流行开始以来不断演变的丰富现有信息,本节将回顾该病毒的主要特征、其病理生理学、临床表现以及主要诊断和治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b443/9097969/52369e8d14c2/gr1_lrg.jpg

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