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[新型冠状病毒肺炎管理正常化阶段的异基因造血干细胞移植]

[Allogeneic hematopoietic stem cell transplantation during the normalization stage of COVID-19 management].

作者信息

Liu Q F, Lin R

机构信息

Department of Hematology, Nanfang Hospital, Southern Medical University, Clinical Medical Research Center of Hematological Diseases of Guangdong Province, Guangzhou 510515, China.

出版信息

Zhonghua Xue Ye Xue Za Zhi. 2024 Nov 14;45(11):977-981. doi: 10.3760/cma.j.cn121090-20240817-00308.

Abstract

At present, the world has entered the normalization stage of coronavirus disease 2019 (COVID-19) management. COVID-19 continues to affect patients with allogeneic hematopoietic stem cell transplantation (allo-HSCT) for a long period. The author discussed the possible effect of COVID-19 on HSCT strategy and prognosis during this period based on literature reports. Transplantation should be deferred until clinical resolution and negative severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in patients infected with SARS-CoV-2 before transplantation. Donors infected with SARS-CoV-2 during the stem cell collection may not affect apheresis. Allo-HSCT recipients demonstrated a high rate of severe COVID-19 if COVID-19 occurred at the early stage of transplantation. Severe COVID-19 remains a risk factor for nonrelapse mortality and survival after transplantation. The association between COVID-19 and post-transplantation complications, such as other infections, endothelial injury-related complications, and relapse, needs to be further investigated in large samples.

摘要

目前,世界已进入新型冠状病毒肺炎(COVID-19)管理的常态化阶段。COVID-19长期持续影响接受异基因造血干细胞移植(allo-HSCT)的患者。作者基于文献报道探讨了在此期间COVID-19对HSCT策略和预后的可能影响。对于移植前感染严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的患者,应推迟移植直至临床症状消退且SARS-CoV-2检测呈阴性。干细胞采集期间感染SARS-CoV-2的供者可能不影响单采。如果在移植早期发生COVID-19,allo-HSCT受者出现重症COVID-19的比例较高。重症COVID-19仍然是移植后非复发死亡率和生存率的危险因素。COVID-19与移植后并发症(如其他感染、内皮损伤相关并发症和复发)之间的关联需要在大样本中进一步研究。

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本文引用的文献

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