后 COVID-19 综合征范围内的支气管肺系统:文献综述

A. M. Nesterets, A. D. Khudiakova, A. B. Kurtukova, I. I. Logvinenko
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摘要

本综述旨在描述有关 COVID-19 后综合征的现有科学数据,制定主要的分类方法,确定其潜在的发病机制,以及确定在 COVID-19 后综合征框架内支气管肺系统病变的发生机制。众所周知,由于 SARS-CoV-2 病毒对多个器官和系统的直接或间接影响,COVID-19 症状的长期持续会大大降低患者的生活质量。本综述详细探讨了 COVID-19 后综合征可能的发病机制,描述并研究了急性 COVID-19 最常见的后果,同时考虑到疾病的严重程度,包括呼吸系统疾病,特别是间质性疾病和支气管阻塞性疾病。为了在后 COVID-19 综合征的框架内描述和构建有关肺部疾病的现有科学数据,对上述问题给予了特别关注。然而,应该指出的是,关于后 COVID-19 时期支气管-肺系统变化的发病机理的研究很少。其中大部分研究只涉及呼吸系统疾病的个别表现,特别是咳嗽和气短,而不是为了确定因果关系以及这些症状与特定命名的关系。考虑到 COVID-19 的发病率居高不下,无疑应该对 COVID-19 后综合征的支气管肺部表现进行更多的研究。资料来源包括 PubMed、eLibrary、Scopus 和 Jstor 等数据库。
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Bronchopulmonary system within the confines of post-COVID-19 syndrome: literature review
The purpose of this review is to describe the available scientific data on the post-COVID-19 syndrome, formulate the main approaches to classification, determine the potential mechanisms of its pathogenesis, as well as determine the mechanisms of the occurrence of bronchopulmonary system pathology within the framework of the post-COVID-19 syndrome. It is known that long-term persistence of COVID-19 symptoms significantly reduces the quality of life of patients through the direct or indirect effect of the SARS-CoV-2 virus on a number of organs and systems. The review examines in detail the possible pathogenetic mechanisms of the post-COVID-19 syndrome, describes and studies the most common consequences of acute COVID-19, taking into account the severity of the disease, including diseases of the respiratory system, in particular interstitial and broncho-obstructive diseases. Particular attention is paid to the above problems in order to describe and structure the available scientific data on lung diseases within the framework of the post-COVID-19 syndrome. It should be noted, however, that there are very few studies on pathogenesis of changes in the bronchopulmonary system in the post-COVID-19 period. The bulk of them affect only individual manifestations of diseases of the respiratory system, in particular cough and shortness of breath, and are not aimed at determining causeand-effect relationships and the relationship of these symptoms to a specific nosology. Taking into consideration the continued high incidence of COVID-19, there is no doubt that additional studies of bronchopulmonary manifestations of post-COVID-19 syndrome should be conducted. Information from the databases PubMed, eLibrary, Scopus, Jstor was used as literary sources.
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