新冠肺炎确诊患儿恢复期血浆输血分析:一项系统综述。

Pub Date : 2022-10-01 DOI:10.5152/FNJN.2022.21260
Casman Casman, Nurlaila Fitriani, Deny Gunawan, Rohayati Rohayati
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摘要

目的:分析新冠肺炎(2019)确诊阳性患儿恢复期血浆治疗的疗效。本研究主要探讨恢复期血浆输注后给药机制及预后。方法:使用关键词组合进行文章检索,即“COVID-19”、“恢复期血浆”和“儿童”或“儿科”。使用的数据库来自Pubmed、ScienceDirect、Wiley Online、Springerlink和Ebsco,共找到501篇文章。提交的文章均为低偏倚的文章,根据系统评价和荟萃分析方案的首选报告项目,按照纳入和排除标准选择报告。结果:共入选8篇文章。对11例以呼吸急促、饱和度降低为首发症状的患儿进行恢复期血浆输注,并予重症监护。恢复期血浆的剂量取决于孩子的体重。所有患儿输血后预后良好,7例患儿痊愈出院。结论:新冠肺炎确诊阳性患儿恢复期血浆输注可有效改善患儿临床状况。然而,必须指出的是,献血者的血液经过了正确的程序。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Analysis of Convalescent Plasma Transfusion in Children Confirmed with COVID-19: A Systemic Review.

Aim: This study aims to analyze the effectiveness of convalescent plasma therapy in children who are confirmed positive for coronavirus disease-2019. This study focuses on the mechanism of treatment administration and the prognosis after convalescent plasma transfusion.

Method: Article searches were conducted using a combination of keywords, namely, "COVID-19," "convalescent plasma," and "children" or "pediatric." Databases used were from Pubmed, ScienceDirect, Wiley Online, Springerlink, and Ebsco and 501 articles were found. The articles submitted are articles with low bias, where the selection of reports follows the inclusion and exclusion criteria according to the Preferred Reporting Items for Systematic Review and Meta-Analysis protocol.

Results: A total of 8 articles were selected. Convalescent plasma transfusion was given to 11 children whose condition worsened starting with signs of tachypnea and decreased saturation, then the children were admitted to intensive care. The dose of convalescent plasma is based on the child's weight. All children had a good prognosis after the transfusion, and 7 children had recovered and were discharged from the hospital.

Conclusion: Convalescent plasma transfusion in children who are confirmed positive for coronavirus disease-2019 effectively improves the clinical condition of children. However, it must be noted that the blood from the donor has gone through the correct protocol.

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