新冠病毒或攻击中枢神经,专家建议完善脑脊液检测-看世界

新冠病毒或攻击中枢神经,专家建议完善脑脊液检测

在听到新冠肺炎这个名字时,大家肯定都知道它会对呼吸系统造损伤,但是其它的危害并不仅限于此。北京地坛医院4日公布,此前的2月25日,首例新冠肺炎合并脑炎患者从该院顺利出院。该院ICU主任刘景院提醒:患者出现意识障碍,一定要考虑病毒有可能攻击中枢神经系统。

When you hear the novel coronavirus pneumonia, you will know that it will damage the respiratory system, but other hazards are not limited to this. Beijing Ditan Hospital, 4, novel coronavirus pneumonia was successfully discharged from hospital in February 25th. Liu Jingyuan, director of the ICU of the hospital, reminded that patients with consciousness disorders must consider that the virus may attack the central nervous system.

全球首例新冠肺炎合并脑炎病例

The first case of novel coronavirus pneumonia complicated with encephalitis in the world

一周前,56岁的新冠肺炎患者许先生从地坛医院康复出院。他是一名新冠肺炎危重型患者,合并脑炎。

A week ago, novel coronavirus pneumonia, 56, was discharged from the Ditan hospital. He is a novel coronavirus pneumonia patient with encephalitis.

此前的研究表明,新冠肺炎患者可合并重度呼吸窘迫综合征、心肌损害、凝血功能异常、肾脏损伤、肝脏损害等多脏器损害,尚未发现有中枢神经系统受累的报道,此病例报道在全球尚属首例。

Previous studies have shown novel coronavirus pneumonia can be associated with severe respiratory distress syndrome, myocardial damage, coagulation dysfunction, kidney injury, liver damage and other organ damage, and no central nervous system involvement has been reported. This case is the first case in the world.

刘景院说,新型冠状病毒肺炎已经成为一个全球公共卫生事件,危重型新型冠状病毒感染患者的救治仍然是一个巨大挑战,病毒对靶器官的直接损害以及因此而导致的全身炎症反应可能是SARS-CoV-2感染人体后主要的致病机制。

Liu Jingyuan said that novel coronavirus novel coronavirus pneumonia has become a global public health event. The treatment of critically ill patients with new coronavirus infection is still a huge challenge. The direct damage of virus to target organs and the systemic inflammatory response caused by it may be the main pathogenic mechanism of SARS-CoV-2 infection.

刘景院提醒抗疫救治一线中的医护人员,在临床观察中,不乏有颈抵抗,病理征阳性,突发意识障碍甚至昏迷的病例存在,面对此类患者,需要警惕新冠病毒感染可累及中枢神经系统,及时进行脑脊液等相关检查,并完善脑脊液SARS-CoV-2核酸及基因测序等工作,为更全面了解COVID-19做出探索,并积极处理相关神经系统并发症,从而进一步降低危重病人的病死率。

Liu Jingyuan reminded the medical staff in the front-line of anti epidemic treatment that there are many cases of neck resistance, positive pathological signs, sudden disturbance of consciousness and even coma in clinical observation. In the face of such patients, we need to be alert to the new coronavirus infection that may affect the central nervous system, timely check the cerebrospinal fluid and other related tests, and improve the work of sars-cov-2 nucleic acid and gene sequencing in the cerebrospinal fluid To understand covid-19 in an all-round way and actively deal with the related neurological complications, so as to further reduce the mortality of critical patients.

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