SARS-CoV-2感染对重要器官损害的特征

Y. V. Lavrischeva, A. Konradi, A. Jakovenko
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引用次数: 1

摘要

SARS-CoV-2感染继续与卫生保健系统相关,因为它广泛存在并以全身性病变为特征。该病的并发症主要影响呼吸系统、心血管系统和泌尿系统。在严重的情况下,继发感染可能会加入和急性窘迫综合征可能发展。最可怕的并发症是多器官衰竭,导致患者死亡的频率很高。毫无疑问,患者的伴随病理的存在会对COVID-19的病程产生负面影响,并影响疾病的预后,这需要在临床实践中特别注意,以便及时发现并快速反应,以优化治疗。并发症的范围很广。从心血管系统来看,这些是心肌炎,急性心肌梗死,血栓栓塞事件。急性肾损伤和/或慢性肾病病程恶化也经常发生。这篇综述探讨了与重要器官的失败有关的几个问题,各种临床变异的疾病过程。特别关注肾脏和心血管系统的损害,因为它们是SARS-CoV-2病毒最脆弱的系统。©ЮВ。Лаврищева,АО。АКонради。А。Яковенко,2022。
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Features of Damage to Vital Organs Due to SARS-CoV-2 Infection
SARS-CoV-2 infection continues to be relevant for healthcare systems because it is widespread and characterized by systemic lesions. Complications of the disease primarily affect the respiratory, cardiovascular and urinary systems. In severe cases, secondary infection may join and acute distress syndrome may develop. The most formidable complication, with a high frequency leading to the death of patients, is multiple organ failure. Undoubtedly, the presence of concomitant pathology in the patient has a negative impact on the course of COVID-19 and affects the prognosis of the disease, which requires special attention in clinical practice for their detection and rapid response in order to optimize therapy. The spectrum of complications is very wide. From the cardiovascular system, these are myocarditis, acute myocardial infarction, thromboembolic events. Acute kidney injury and/or worsening of the course of chronic kidney disease also often develops. This review examines several issues related to the defeat of vital organs, various clinical variants of the course of the disease. Particular attention is paid to the damage of the kidneys and cardiovascular system, as the most vulnerable systems for the SARS-CoV-2 virus. © Ю.В. Лаврищева, А.О. Конради, А.А. Яковенко, 2022.
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