后COVID-19患者的临床放射学和肺功能评估呼吸系统症状
Nilakantha Behera1, Jeetendra Kumar Patra1, Bijay Kumar Dash2
1Department of Pulmonary Medicine, SCB Medical College and Hospital, Cuttack, Odisha, India.
Journal of family medicine and primary care
|September 4, 2024
概括
持续的呼吸道症状在COVID-19后很常见,许多患者显示肺功能和成像异常. 建议提前转诊到后COVID中心进行评估和康复.
科学领域:
- 肺部医学 肺部医学
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
背景情况:
- 冠状病毒疾病2019 (COVID-19) 幸存者经常经历长时间的呼吸道症状.
- 评估COVID-19的临床,功能和放射性后果对于患者管理至关重要.
研究的目的:
- 评估COVID-19后患者的临床症状,肺功能和放射性变化.
- 为了调查从COVID-19中恢复过来的个人的心血管并发症.
主要方法:
- 一项观察性研究涉及75名COVID-19后患有呼吸道症状的患者.
- 收集了关于临床表现,螺旋计,胸部X射线,高分辨率计算机断层扫描 (HRCT) 和心血管参数的数据.
- 排除具有先前存在的呼吸道疾病的患者.
主要成果:
- 呼吸不全和咳是最常见的呼吸道症状.
- 胸部X射线 (42.6%) 和HRCT (55.7%) 的异常是常见的,有网膜加厚和隔膜加厚.
- 螺旋计检测显示,在很大一部分患者中,限制性和混合性模式,特别是那些中度至重度肺炎患者.
- 在38.6%和32%的患者中,分别观察到C-反应蛋白 (CRP) 和D-二次蛋白水平升高.
- 心血管并发症,包括右心扩大和肺高血压,是不常见的.
结论:
- 患有持续呼吸道症状的COVID-19后患者需要转诊到专门的中心进行全面评估和康复.
- 炎症标志物如CRP和D-二次体的升高可能会在感染后持续存在.
- 虽然心血管问题并不常见,但CT检测结果对呼吸系统健康和生活质量的长期影响需要进一步调查.
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