Am J Pathol:对于COVID-19重症患者,输注康复期血浆是一种安全的治疗方案

2020-08-07 MedSci原创 MedSci原创

由重症急性呼吸综合征冠状病毒2型引起的冠状病毒病2019(COVID-19)已在全球范围内蔓延,目前尚无成熟有效的治疗方法。康复期血浆疗法用于治疗严重的微生物感染已经超过100年,并取得了不同程度的成

由重症急性呼吸综合征冠状病毒2型引起的冠状病毒病2019(COVID-19)已在全球范围内蔓延,目前尚无成熟有效的治疗方法。康复期血浆疗法用于治疗严重的微生物感染已经超过100年,并取得了不同程度的成功。

 

从2020年3月28日至2020年4月14日,研究人员在休斯敦卫理公会医院招募了患有严重和/或危及生命的COVID-19疾病的患者(n = 25)。患者输注了康复期血浆,来自已确诊的严重急性呼吸综合征冠状病毒2感染者恢复期的血浆。主要研究结果是安全性,次要结果是输血后第14天的临床状态。基于改良世界卫生组织六点序数表和实验室参数评估患者的临床改善情况。对供体和受体菌株进行了病毒基因组测序。

 

结果显示,在输注康复期血浆后的第7天,9名患者的临床评分至少提高了1分,其中7名患者出院。输血后第14天时,19名(76%)患者的临床状态至少有1点改善,其中11名患者出院。没有观察到输血浆导致的不良事件。全基因组测序数据没有发现菌株基因型与疾病严重程度的相关性。

 

综上所述,该研究结果表明,对于COVID-19重症患者,输注康复期血浆是一种安全的治疗方案。

 

原始出处:

 

Eric SalazarKatherine K Perez, et al., Treatment of Coronavirus Disease 2019 (COVID-19) Patients with Convalescent Plasma. Am J Pathol. 2020 Aug;190(8):1680-1690. doi: 10.1016/j.ajpath.2020.05.014. 

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    2021-04-22 yb6560
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    2020-08-08 ms5867882106330136

    学习了

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1786369, encodeId=201a1e863694b, content=<a href='/topic/show?id=569f13e9045' target=_blank style='color:#2F92EE;'>#Pathol#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13790, encryptionId=569f13e9045, topicName=Pathol)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4b65161, createdName=yb6560, createdTime=Thu Apr 22 02:58:12 CST 2021, time=2021-04-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1951385, encodeId=e0a219513854c, content=<a href='/topic/show?id=912d4943838' target=_blank style='color:#2F92EE;'>#康复期#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=49438, encryptionId=912d4943838, topicName=康复期)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b05b180, createdName=grace5700, createdTime=Fri Jul 02 06:58:12 CST 2021, time=2021-07-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1905143, encodeId=dee0190514338, content=<a href='/topic/show?id=21f66464823' target=_blank style='color:#2F92EE;'>#治疗方案#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=64648, encryptionId=21f66464823, topicName=治疗方案)], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=zhouqu_8, createdTime=Mon Oct 05 06:58:12 CST 2020, time=2020-10-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1284109, encodeId=f0b11284109c8, content=<a href='/topic/show?id=cdb79594643' target=_blank style='color:#2F92EE;'>#重症患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=95946, encryptionId=cdb79594643, topicName=重症患者)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6c3a189, createdName=longqijun248, createdTime=Sun Aug 09 14:58:12 CST 2020, time=2020-08-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=806894, encodeId=787e806894e4, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/liaczuwPSkAv3yhtrwoatoMbnJPNdDE3hE15ruDqj3kQ66TAYjBIhiaWnMlnx0Gicd2RniaIavmTzfn178BbTbDlQQ/132, createdBy=dff55156672, createdName=ms5867882106330136, createdTime=Sat Aug 08 09:22:03 CST 2020, time=2020-08-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=806868, encodeId=81d9806868dd, content=原来如此, beContent=null, objectType=article, channel=null, level=null, likeNumber=88, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200808/b4dcd9b3f096484892b4cbb83a5d1b80/c7a0c6abb8c94f4f9b6c1b740477ccdc.jpg, createdBy=73762223628, createdName=1210abb6m25暂无昵称, createdTime=Sat Aug 08 00:14:22 CST 2020, time=2020-08-08, status=1, ipAttribution=)]
    2020-08-08 1210abb6m25暂无昵称

    原来如此

    0

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