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2019冠状病毒病患者恢复期血浆治疗的有效性与争议

Effectiveness and Controversy of Convalescent Plasma Therapy for Coronavirus Disease 2019 Patients.

作者信息

Shu Zhanjun, Wu Peipei, Qian Qianqian, Zhou Li, Du Dandan, Ding Mengxuan, Peng Tao, Fang Ke

机构信息

Research Institute of TCM of Affiliated Fourth Hospital in Xinjiang Medical University, Urumuqi, Xinjiang 830000, China.

The Eighth Affiliated Hospital of The Xinjiang Medical University, Urumuqi, Xinjiang 830000, China.

出版信息

Infect Dis Immun. 2021 Dec 2;2(1):49-54. doi: 10.1097/ID9.0000000000000033. eCollection 2022 Jan.

Abstract

Since the coronavirus disease 2019 (COVID-19) began to spread, it remains pandemic worldwide. The European Medicines Agency's human medicines committee and Food and Drug Administration have only granted a conditional marketing authorization for remdesivir to treat COVID-19. It is essential to apply other valuable treatments. Convalescent plasma (CP), donated by persons who have recovered from COVID-19, is the cellular component of blood that contains specific antibodies. Therefore, to determine the feasibility of CP for COVID-19, the effectiveness and controversy are discussed in depth here. It is suggested that CP plays a certain role in the treatment of COVID-19. As a treatment, it may have its own indications and contraindications, which need to be further discussed. Meanwhile, it is critical to establish a standard procedure for treatment from CP collection, preservation, transport, to transfusion, and conduct some large sample randomized controlled trials to confirm the transfusion dosage, appropriate time, frequency, and actively prevent adverse outcomes that may occur.

摘要

自2019年冠状病毒病(COVID-19)开始传播以来,它在全球范围内仍然是大流行病。欧洲药品管理局的人用药品委员会和美国食品药品监督管理局仅授予了瑞德西韦治疗COVID-19的有条件上市许可。应用其他有价值的治疗方法至关重要。由从COVID-19中康复的人捐赠的康复期血浆(CP)是血液中含有特定抗体的细胞成分。因此,为了确定CP治疗COVID-19的可行性,在此深入讨论其有效性和争议性。建议CP在COVID-19治疗中发挥一定作用。作为一种治疗方法,它可能有其自身的适应症和禁忌症,需要进一步探讨。同时,建立从CP采集、保存、运输到输血的标准治疗程序,并开展一些大样本随机对照试验以确认输血剂量、合适时间、频率,并积极预防可能发生的不良后果,这一点至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5d8/8772051/af6816e38f09/id9-2-49-g001.jpg

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