患有COVID-19的住院儿童的凝血概况:儿科年龄依赖及其对长期COVID发育的影响
Oksana Boyarchuk1, Vita Perestiuk1, Tetyana Kosovska1
1Department of Children's Diseases and Pediatric Surgery, I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine.
Frontiers in immunology
|March 21, 2024
概括
儿童的COVID-19可能会导致凝血异常,与长期COVID发育相关的异常前热血素时间 (PT). 需要对儿科凝血概况进行进一步的研究.
科学领域:
- 儿科医学 儿科医学
- 血液学 血液学 血液学
- 传染性疾病 传染性疾病
背景情况:
- COVID-19与内皮病变和免疫血栓形成有关.
- 持续的内皮病变和凝结能力可能会导致长期的COVID发展.
- 了解儿科COVID-19中的凝血概况对于长期COVID研究至关重要.
研究的目的:
- 为了研究小儿COVID-19患者的凝血概况.
- 确定凝血参数在长期COVID发展中的作用.
- 分析COVID-19儿童的依赖年龄的凝血变化.
主要方法:
- 对190名儿科COVID-19患者进行的前性单中心队列研究.
- 凝血概况分析,包括激活的部分血栓塑时间和前血栓时间.
- 根据世卫组织的定义,对长期COVID症状进行后续监测.
主要成果:
- 94.5%的COVID-19儿童显示出凝血特征异常,随年龄而异.
- 激活的部分血栓塑时间 (69.1%) 和前血栓时间 (39.8%) 的增加是常见的.
- 异常的前列血时间 (PT) 是儿童长期COVID的重要危险因素 (OR 2.06).
结论:
- 凝血异常在儿科COVID-19中很普遍,并且取决于年龄.
- 异常PT,女性性别和并发症是长期COVID的潜在风险因素.
- 需要对儿科凝血进行进一步的研究,以了解血栓炎症和长期COVID.
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