新的冠状动脉感染:临床流动的特征,诊断、治疗和预防成人和儿童感染的能力

Anna Starshinova, Ekaterina A. Kushnareva, Anna M. Malkova, I. F. Dovgalyuk, Dmitry A. Kudlay
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引用次数: 28

摘要

2019年12月,中国湖北省武汉市报告了首例新型冠状病毒感染病例。到2020年4月初,这种感染已导致全球10多万人死亡。本文分析了成人和儿童感染过程的特点,以及COVID-19的诊断、治疗和预防能力。根据已公布的数据,有可能将严重疾病发展的高风险群体(老年人、潜伏性结核病感染者、患有严重合并症的成年患者)进行分配。目前,关于COVID-19在儿童中的流行率、发病率和死亡率的流行病学数据有限。然而,已经有可能得出结论,儿童人群中90%的病例病程轻、中度和无症状。由于缺乏致病因治疗手段和仅使用对症治疗的可能性,COVID-19患者的治疗受到限制。目前没有预防COVID-19的疫苗。
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Новая коронавирусная инфекция: особенности клинического течения, возможности диагностики, лечения и профилактики инфекции у взрослых и детей
First cases of new coronaviral infection were reported in Wuhan, Hubei Province, China in December 2019. The infection had caused the death of more than 100,000 people worldwide by the beginning of April 2020. This review analysed the characteristics of the infection course in adults and children, as well as capabilities of diagnostics, treatment and prevention of COVID-19. It is possible to allocate groups of high risk of development of severe forms of disease (elderly people, people with latent tuberculosis infection, adult patients with severe comorbidity) according to the published data. Currently there is limited epidemiological data on the prevalence, morbidity and mortality of COVID-19 in the child population. However, it is already possible to conclude that 90% of cases in children population have mild, moderate and asymptomatic course of the disease. Treatment of patients with COVID-19 is limited due to the lack of means for etiotropic therapy and the possibility of using of only symptomatic therapy. There are no vaccines for COVID-19 prevention.
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