COVID-19 的长期肺部和肺外后果:对当前证据和未来展望的全面回顾。

Narra J Pub Date : 2023-08-01 Epub Date: 2023-07-25 DOI:10.52225/narra.v3i2.156
Mayur Wanjari, Sampada Late, Ranjana Sharma, Pratiksha Munjewar
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引用次数: 0

摘要

2019 年冠状病毒病(COVID-19)大流行对全球产生了重大影响,波及全球无数人。严重急性呼吸系统综合症冠状病毒 2(SARS-CoV-2)的存在导致了相当程度的疾病和死亡。尽管人们对 COVID-19 的即时处理给予了极大关注,但对这种疾病的长期影响的担忧却与日俱增。最近的研究揭示了与 COVID-19 相关的各种复杂问题,包括呼吸道和非呼吸道问题,如肺部瘢痕、心脏病、神经系统影响和心理后果。本综述旨在提供对 COVID-19 持续影响的全面了解。本综述总结了近期对这些并发症的发生频率和严重程度进行的研究,并探讨了导致这些并发症发生的潜在机制。具体来说,它深入探讨了免疫失调、长期炎症和血管内膜功能障碍在这些并发症中的作用。此外,还讨论了这些长期后果的临床意义,包括对医疗系统和整个社会的潜在影响。我们的综述强调了对确诊为 COVID-19 的患者进行持续监测和管理的必要性,以及开展长期随访研究以确定预防和治疗这些并发症的最有效策略的重要性。
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Long-term pulmonary and extra-pulmonary consequences of COVID-19: A comprehensive review of current evidence and future perspectives.

The global impact of the coronavirus disease 2019 (COVID-19) pandemic has been significant, affecting countless individuals worldwide. The existence of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has led to considerable levels of illness and mortality. While considerable attention has been devoted to the immediate handling of COVID-19, there is a growing concern about the long-term effects of this disease. The recent studies have brought to light various complexities associated with COVID-19, encompassing both respiratory and non-respiratory problems such as lung scarring, heart diseases, neurological effects, and psychological consequences. The purpose of this review is to provide a comprehensive understanding of the persistent repercussions of COVID-19. It presents a summary of recent studies that have examined the frequency and severity of these complications, as well as an exploration of the potential mechanisms that contribute to their development. Specifically, it delves into the role of immune dysregulation, prolonged inflammation, and dysfunction of blood vessel linings in the origin of these complications. Moreover, the clinical significance of these long-term consequences is discussed, including their potential impact on healthcare systems and society as a whole. Our review highlights the necessity for continuous monitoring and management of patients diagnosed with COVID-19, along with the importance of conducting follow-up studies over an extended period to determine the most effective strategies for prevention and treatment of these complications.

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