Kaiafa Georgia, Savopoulos Christos, Karlafti Eleni, Pantazi Konstantina, Paramythiotis Daniel, Thomaidou Evanthia, Daios Stylianos, Ztriva Eleftheria, Gionis Michalis, Fyntanidou Varvara, Argiriadou Helena, Didangelos Triantafyllos
1st Propaedeutic Department of Internal Medicine, AHEPA University General Hospital, Aristotle University of Thessaloniki, 54621 Thessaloniki, Greece.
Emergency Department, AHEPA University General Hospital, Aristotle University of Thessaloniki, 54621 Thessaloniki, Greece.
Life (Basel). 2022 Oct 20;12(10):1658. doi: 10.3390/life12101658.
Coronavirus disease is a viral infection that can affect multiple systems and be expressed with many-or no-symptoms. The viral infection begins when the virus binds to the host's receptor and from that point on, it is transmitted to the rest of the body, where it causes inflammatory reactions. Among other tissues and systems, SARS-CoV-2 impacts the coagulation system, where it triggers the immunothrombotic response. Its effects are rather intense and can lead to many complications. COVID-19-associated coagulopathy is frequently observed in hospitalized patients, especially ICU patients, and can be proven detrimental. It is usually accompanied by other complications, such as sepsis-induced coagulopathy, disseminated intravascular coagulation and venous thromboembolism. Since all these conditions lead to poor prognosis for severely ill patients, thromboprophylaxis and coagulopathy prognosis are just as important as the therapeutic handling of these patients. Since the beginning of the pandemic, many biomarkers have been considered useful when trying to assess the thrombotic risk of hospitalized patients or evaluate the severity of their situation. At the same time, many drugs have already been tested-while others are still being trialed-in order to find the optimal therapy for each urgent situation.
冠状病毒病是一种病毒感染,可影响多个系统,症状表现多样,也可能没有症状。病毒感染始于病毒与宿主受体结合,从那时起,它会传播到身体其他部位,引发炎症反应。在其他组织和系统中,严重急性呼吸综合征冠状病毒2(SARS-CoV-2)会影响凝血系统,引发免疫血栓形成反应。其影响相当强烈,可导致许多并发症。与冠状病毒病(COVID-19)相关的凝血病在住院患者中,尤其是重症监护病房(ICU)患者中经常出现,可能会产生有害影响。它通常伴有其他并发症,如脓毒症诱导的凝血病、弥散性血管内凝血和静脉血栓栓塞。由于所有这些情况都会导致重症患者预后不良,血栓预防和凝血病预后与这些患者的治疗处理同样重要。自疫情开始以来,在试图评估住院患者的血栓形成风险或评估其病情严重程度时,许多生物标志物已被认为有用。与此同时,为了找到针对每种紧急情况的最佳治疗方法,许多药物已经进行了测试,而其他药物仍在试验中。