一个COVID-19后间歇性肺部疾病的尸检病例,急性恶化
Akifumi Tsuzuku1, Fumihiro Asano1, Masaki Katayama2
1Department of Pulmonary Medicine, Gifu Prefectural General Medical Center, Japan.
Internal medicine (Tokyo, Japan)
|October 1, 2023
概括
对于2019年冠状病毒病后 (COVID-19) 间歇性肺病患者的长期前景是不确定的. 这次尸检案例突出了导致致命结局的急性恶化,证实了肺部疾病恶化的组织病理证据.
科学领域:
- 肺部病理学 肺部病理学
- 病理学 病理学 病理学
- 传染性疾病 传染性疾病
背景情况:
- 2019年新冠病毒病后 (COVID-19) 间歇性肺病 (ILD) 的预后尚不清楚.
- COVID-19可能导致持续的肺损伤,包括ILD,长期后果尚不清楚.
研究的目的:
- 报告一个解剖病例,详细说明COVID-19后ILD的进展和组织病理学发现.
- 调查已确定的COVID-19后ILD急性恶化的可能性.
主要方法:
- 对肺组织进行解剖和组织病理学检查.
- 对导致致命结局的临床进展进行分析.
主要成果:
- 该病例证明了COVID-19后ILD的连续进展.
- 尸体解剖显示了急性病变 (氨酸膜形成,炎症透) 以及严重的区域纤维化.
- 组织病理学证实了先前存在的慢性间歇性肺病的急性恶化.
结论:
- 后COVID-19ILD可以经历急性恶化,可能导致致命的结果.
- 组织病理学发现表明,在严重病例中,急性损伤和慢性纤维化变化的结合.
- 需要进一步的研究来澄清COVID-19后ILD的预后和管理.
相关概念视频
COPD: Pathogenesis and Clinical Features
327
Chronic obstructive pulmonary disease (COPD) is a group of lung conditions that progressively worsen over time, including chronic bronchitis and emphysema. This cluster of diseases collectively leads to a gradual and irreversible decline in lung function over time.
The primary cause for the onset of COPD is cigarette smoking and exposure to air pollution. These hazardous factors initiate a chain reaction within the lungs, resulting in chronic inflammation, damage to the airways, and a...
The primary cause for the onset of COPD is cigarette smoking and exposure to air pollution. These hazardous factors initiate a chain reaction within the lungs, resulting in chronic inflammation, damage to the airways, and a...
327
Chronic Obstructive Pulmonary Disease-II: Pathophysiology
2.8K
Chronic Obstructive Pulmonary Disease (COPD) pathophysiology is intricate and multifaceted, involving a complex interplay of physiological processes. Understanding these mechanisms is crucial for effectively managing and treating COPD. Here is an in-depth look at the critical elements in the pathophysiology of COPD:
Chronic Inflammation
Chronic Inflammation
2.8K
Acute Respiratory Failure-II
263
Type I Respiratory Failure, or hypoxemic respiratory failure, occurs when the partial pressure of oxygen (PaO2) in arterial blood falls below 60 mmHg while breathing room air without a corresponding increase in arterial carbon dioxide levels (PaCO2). This condition highlights a significant impairment in the lungs' capacity to oxygenate the blood.
The underlying physiological abnormalities that contribute to hypoxemic respiratory failure include:
The underlying physiological abnormalities that contribute to hypoxemic respiratory failure include:
263
Acute Respiratory Failure-III
209
Hypercapnic respiratory failure, also known as Type 2 or ventilatory respiratory failure, is a severe condition characterized by the body's inability to effectively remove carbon dioxide (CO2) from the bloodstream. It leads to an arterial CO2 pressure (PaCO2) exceeding 45 mmHg and a blood pH above 7.35. This situation indicates that the body's ventilatory demand, or the ventilation needed to maintain normal PaCO2 levels, surpasses its supply or the maximum gas flow achievable without...
209
Pneumonia II: Pathophysiology
314
The pathophysiology of pneumonia involves the following steps:
314
Pneumonia III: Complications and Assessment
253
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
253


