COVID-19的胃肠道表现

M. Ahadi, Negin Masoudifar, M. A. Rad
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引用次数: 0

摘要

严重急性呼吸综合征冠状病毒2(SARS-CoV-2)导致2019冠状病毒病(新冠肺炎),给整个世界带来了不可预测的挑战。尽管呼吸道表现是新冠肺炎最常见的症状,但早期研究报告称,典型的胃肠道(GI)症状发生率较低,如腹泻、恶心、呕吐,甚至肝脏功能障碍。然而,在新冠肺炎患者中,胃肠道系统受累(包括胃肠道症状和肝损伤)的患病率和预后大多未知。我们旨在回顾新冠肺炎对胃肠道系统的影响。厌食症是成人最常见的消化系统症状(39.9%-50.2%),腹泻是成人和儿童最常见的症状。此外,呕吐在儿童中更为常见。大约9%的成年患者出现呕吐。近36%的儿童出现呕吐;15%的儿童认为恶心。超过10%的儿童出现胃肠道出血,而重症患者腹痛更为常见。
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Gastrointestinal Manifestations of COVID- 19
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has brought unpredictable challenges to the whole world by causing Coronavirus disease2019(COVID-19). Although respiratory tract manifestations are the most commonly reported symptoms in COVID-19, early studies reported a low incidence of typical gastrointestinal (GI) symptoms, such as diarrhea, nausea, vomiting, and even liver dysfunctions. However, The prevalence and prognosis of Gastrointestinal system involvement, including gastrointestinal symptoms and liver injury, remains mostly unknown in patients with COVID-19. We aimed to review the effects of COVID-19 on the GI system. Anorexia was the most frequent digestive symptom in adults (39.9%‐50.2%), and diarrhea was the most frequent symptom in both adults and children.Moreover, vomiting was more common in children. Approximately nine percent of adult patients showed vomiting. Almost 36% of children encounter vomiting; nausea is considered for 15% of children. Gastrointestinal bleeding was presented in more than ten percent of children, while abdominal pain was more frequent in severely ill patients.
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