Covid-19感染及其对多器官的不良影响

Shehnaz Sultana, Samuel Abraham Joshi Davala, V. Ananthapur, P. Pardhanandana Reddy
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摘要

Covid-19大流行是严重急性呼吸系统综合征(SARS-CoV-2)的后果,是全球死亡的主要原因之一。SARS-CoV-2的表现多种多样,从无症状感染到多器官衰竭。SARS-CoV-2感染的主要机制是病毒与ACE2的膜结合形式结合,ACE2主要在肺、心脏和肾脏中表达。合并症的存在使患者发展为严重形式的Covid-19的风险更高。多项研究表明,SARS-CoV-2感染对多器官有不良影响。由于新变体的出现,尚未建立正确诊断和管理Covid-19多器官效应的策略。然而,在进行更多的研究之前,必须根据具体的器官损伤制定个性化的治疗方法,以降低总体死亡率。
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Covid-19 Infection and its Adverse Effects on Multiorgan
Covid-19 pandemic, the consequence of severe acute respiratory syndrome (SARS-CoV-2), is one of the main causes of worldwide mortality. The manifestations of SARS-CoV-2 are extensively variable and array from asymptomatic infection to multiorgan failure. The primary mechanism for SARS-CoV-2 infection is the binding of the virus to the membrane bound form of ACE2, which is mostly expressed in the lungs, heart, and kidneys. The presence of comorbidities made patients at a higher risk of developing severe form of Covid-19. Several studies have suggested that SARS-CoV-2 infection have adverse effects on multiorgan. Strategies for proper diagnosis and management of multiorgan effect of Covid-19 have not been established due to the emergence of new variants. However, until more studies are carried out, treatment approaches have to be made on personalized basis depending on the specific organ damage to reduce the overall mortality rate.
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