Suppr超能文献

严重急性呼吸综合征冠状病毒2型肺炎:诊断与治疗进展

SARS-CoV-2 Pneumonia: Advances in Diagnosis and Treatment.

作者信息

Caliman-Sturdza Olga Adriana, Soldanescu Iuliana, Gheorghita Roxana Elena

机构信息

Faculty of Medicine and Biological Sciences, Stefan cel Mare University of Suceava, 720229 Suceava, Romania.

Suceava Emergency County Clinical Hospital, 720224 Suceava, Romania.

出版信息

Microorganisms. 2025 Jul 31;13(8):1791. doi: 10.3390/microorganisms13081791.

Abstract

The development of severe SARS-CoV-2 pneumonia is characterized by extensive lung inflammation, which, in turn, leads to respiratory distress and a decline in blood oxygen levels. Hospital admission, along with intensive care or ventilator usage, becomes necessary because this condition leads to serious respiratory problems. This review aims to provide a comprehensive overview of the pathophysiological mechanisms, diagnostic methods, and current therapeutic options for pneumonia caused by the SARS-CoV-2 virus. The pathophysiological process of severe pneumonia due to SARS-CoV-2 infection is characterized by direct lung damage from viral replication, an excessive immune system response, inflammation, impaired gas exchange, and multi-organ failure. The coexistence of various medical conditions leads to substantial lung impairment, resulting in hypoxia and respiratory failure, which can ultimately lead to fatal outcomes. The diagnosis of severe SARS-CoV-2 pneumonia is made through a combination of clinical, radiologic, and laboratory findings. A multifaceted approach integrating antiviral therapy, corticosteroids, oxygen supplementation, ventilatory management, and immunomodulation is imperative to control inflammation and enhance clinical outcomes. Early intervention, meticulous monitoring, and personalized care are paramount for enhancing survival and mitigating complications in critically ill patients with COVID-19 pneumonia.

摘要

重症严重急性呼吸综合征冠状病毒2(SARS-CoV-2)肺炎的发展特征为广泛的肺部炎症,进而导致呼吸窘迫和血氧水平下降。由于这种情况会导致严重的呼吸问题,因此需要住院治疗,并使用重症监护或呼吸机。本综述旨在全面概述SARS-CoV-2病毒引起的肺炎的病理生理机制、诊断方法和当前的治疗选择。SARS-CoV-2感染导致的重症肺炎的病理生理过程的特征是病毒复制引起的直接肺损伤、过度的免疫系统反应、炎症、气体交换受损和多器官衰竭。各种医疗状况的共存导致严重的肺损伤,导致缺氧和呼吸衰竭,最终可能导致致命后果。重症SARS-CoV-2肺炎的诊断是通过临床、放射学和实验室检查结果相结合来做出的。采用抗病毒治疗、皮质类固醇、氧疗、通气管理和免疫调节相结合的多方面方法对于控制炎症和改善临床结局至关重要。早期干预、细致监测和个性化护理对于提高新冠肺炎重症患者的生存率和减轻并发症至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f28f/12388421/653aa7965b1c/microorganisms-13-01791-g001.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验