Division of Pulmonary, Allergy, and Critical Care Medicine, Stanford University, 300 Pasteur Drive, Stanford, CA 94305, USA.
Division of Pulmonary, Allergy, and Critical Care Medicine, Stanford University, 300 Pasteur Drive, Stanford, CA 94305, USA.
Clin Chest Med. 2023 Jun;44(2):227-237. doi: 10.1016/j.ccm.2022.11.006. Epub 2022 Nov 23.
Coronavirus disease-2019 (COVID-19) pneumonia has diverse clinical manifestations, which have shifted throughout the pandemic. Formal classifications include presymptomatic infection and mild, moderate, severe, and critical illness. Social risk factors are numerous, with Black, Hispanic, and Native American populations in the United States having suffered disproportionately. Biological risk factors such as age, sex, underlying comorbid burden, and certain laboratory metrics can assist the clinician in triage and management. Guidelines for classifying radiographic findings have been proposed and may assist in prognosis. In this article, we review the risk factors, clinical course, complications, and imaging findings of COVID-19 pneumonia.
新型冠状病毒病(COVID-19)肺炎的临床表现多种多样,在整个大流行期间有所变化。正式分类包括症状前感染以及轻症、中度、重症和危重症。社会风险因素众多,美国的黑种人、西班牙裔和美洲原住民人群受到的影响不成比例。生物学风险因素,如年龄、性别、基础合并症负担和某些实验室指标,可以帮助临床医生进行分诊和管理。已经提出了用于分类影像学发现的指南,这些指南可能有助于预后判断。在本文中,我们复习了 COVID-19 肺炎的风险因素、临床病程、并发症和影像学表现。