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COVID-19(新冠肺炎)長期影響(后遺癥)

2022-12-17 23:27 作者:但丁  | 我要投稿

新冠肺炎癥狀有時可能會持續(xù)幾個月。該病毒可能會對肺部、心臟和大腦造成損傷,從而增加出現(xiàn)長期健康問題的風險。


大多數(shù)患有新冠肺炎的人都會在幾周內(nèi)完全康復。但有些人,甚至是那些病情輕微的人,在最初康復后仍會出現(xiàn)癥狀。

有時這些人稱自己為“長期癥狀患者”,而這些醫(yī)療狀況被稱為?COVID-19?后綜合征或“COVID-19?長期癥狀”。相關的健康問題有時被稱為?COVID-19?后遺癥。它們通常被認為是?COVID-19?造成的影響,這些影響從您被診斷出感染?COVID-19?病毒后會持續(xù)超過 4 周。

老年人和許多患有嚴重醫(yī)療狀況的人最有可能出現(xiàn)?COVID-19?的長期癥狀,但即便是原本健康的年輕人也會在感染后數(shù)周至數(shù)月內(nèi)感到不適。長期存在的常見體征和癥狀包括:

  • 疲勞

  • 氣短或呼吸困難

  • 咳嗽

  • 關節(jié)疼痛

  • 胸部疼痛

  • 記憶力、注意力或睡眠問題

  • 肌肉疼痛或頭痛

  • 心跳加快或劇烈

  • 嗅覺或味覺喪失

  • 抑郁癥或焦慮

  • 發(fā)熱

  • 站起時感到頭暈

  • 身體活動或腦力活動后癥狀加重

參考文獻

  1. Carfi A, et al. Persistent symptoms in patients after acute COVID-19. JAMA. 2020; doi:10.1001/jama.2020.12603.

  2. Teneforde MW, et al. Symptom duration and risk factors for delayed return to usual health among outpatients with COVID-19 in a multistate health care systems network — United States, March-June 2020. MMWR Morbidity and Mortality Weekly Report. 2020; doi: 10.15585/mmwr.mm6930e1.

  3. McIntosh K. Coronavirus disease 2019 (COVID-19): Clinical features. https://www.uptodate.com/contents/search. Accessed July 23, 2020.

  4. Puntman VO, et al. Outcomes of cardiovascular magnetic resonance imaging in patients recently recovered from coronavirus disease 2019 (COVID-19). JAMA Cardiology. 2020; doi:10.1001/jamacardio.2020.3557.

  5. Yancy CW, et al. Coronavirus disease 2019 (COVID-19) and the heart — Is heart failure the next chapter? JAMA Cardiology. 2020; doi:10.1001/jamacardio.2020.3575.

  6. Mitrani RD, et al. COVID-19 cardiac injury: Implications for long-term surveillance and outcomes in survivors. Heart Rhythm. 2020; doi:10.1016/j.hrthm.2020.06.026.

  7. Salehi S, et al. Long-term pulmonary consequences of coronavirus disease 2019 (COVID-19): What we know and what to expect. Thoracic Imaging. 2020; doi:10.1097/RTI.0000000000000534.

  8. Fotuhi M, et al. Neurobiology of COVD-19. Journal of Alzheimer's Disease. 2020; doi:10.3233/JAD-200581.

  9. Pero A, et al. COVID-19: A perspective from clinical neurology and neuroscience. The Neuroscientist. 2020; doi:10.1177/1073858420946749.

  10. Myalgic encephalomyelitis/chronic fatigue syndrome: Information for healthcare providers. Centers for Disease Control and Prevention. https://www.cdc.gov/me-cfs/healthcare-providers/index.html. Accessed Feb. 4, 2020.

  11. Barker-Davies RM, et al. The Stanford Hall consensus statement for post-COVID-19 rehabilitation. British Journal of Sports Medicine. 2020; doi:10.1136/bjsports-2020-102596.

  12. Lambert NJ, et al. COVID-19 "long hauler" symptoms survey report. Survivor Corps. https://www.survivorcorps.com/reports . Accessed Nov. 13, 2020.

  13. Living with COVID-19: A dynamic review of the evidence around ongoing COVID-19 symptoms (often called long COVID). National Institute for Health Research. https://evidence.nihr.ac.uk/themedreview/living-with-covid19. Accessed Nov. 10, 2020.

  14. Levison ME. Commentary: What we know so far about post-COVID syndrome. Merck Manual Professional Version. https://www.merckmanuals.com/professional/news/editorial/2020/09/23/20/17/post-covid-syndrome. Accessed Nov. 13, 2020.

  15. Post-COVID-19 conditions. Centers for Disease Control and Prevention. https://www.cdc.gov/coronavirus/2019-ncov/long-term-effects.html. Accessed Oct. 20, 2021.

  16. Post-COVID conditions: Information for healthcare providers. Centers for Disease Control and Prevention. https://www.cdc.gov/coronavirus/2019-ncov/hcp/clinical-care/post-covid-conditions.html. Accessed Oct. 20, 2021.

  17. Saeed S, et al. Coronavirus disease 2019 and cardiovascular complications: Focused clinical review. Journal of Hypertension. 2021; doi:10.1097/HJH.0000000000002819.

轉載自:https://www.mayoclinic.org/zh-hans/diseases-conditions/coronavirus/in-depth/coronavirus-long-term-effects/art-20490351



COVID-19(新冠肺炎)長期影響(后遺癥)的評論 (共 條)

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