COVID-19(新冠肺炎)长期影响(后遗症)
新冠肺炎症状有时可能会持续几个月。该病毒可能会对肺部、心脏和大脑造成损伤,从而增加出现长期健康问题的风险。
大多数患有新冠肺炎的人都会在几周内完全康复。但有些人,甚至是那些病情轻微的人,在最初康复后仍会出现症状。
有时这些人称自己为“长期症状患者”,而这些医疗状况被称为 COVID-19 后综合征或“COVID-19 长期症状”。相关的健康问题有时被称为 COVID-19 后遗症。它们通常被认为是 COVID-19 造成的影响,这些影响从您被诊断出感染 COVID-19 病毒后会持续超过 4 周。
老年人和许多患有严重医疗状况的人最有可能出现 COVID-19 的长期症状,但即便是原本健康的年轻人也会在感染后数周至数月内感到不适。长期存在的常见体征和症状包括:
疲劳
气短或呼吸困难
咳嗽
关节疼痛
胸部疼痛
记忆力、注意力或睡眠问题
肌肉疼痛或头痛
心跳加快或剧烈
嗅觉或味觉丧失
抑郁症或焦虑
发热
站起时感到头晕
身体活动或脑力活动后症状加重
参考文献
Carfi A, et al. Persistent symptoms in patients after acute COVID-19. JAMA. 2020; doi:10.1001/jama.2020.12603.
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.
McIntosh K. Coronavirus disease 2019 (COVID-19): Clinical features. https://www.uptodate.com/contents/search. Accessed July 23, 2020.
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.
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.
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.
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.
Fotuhi M, et al. Neurobiology of COVD-19. Journal of Alzheimer's Disease. 2020; doi:10.3233/JAD-200581.
Pero A, et al. COVID-19: A perspective from clinical neurology and neuroscience. The Neuroscientist. 2020; doi:10.1177/1073858420946749.
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.
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.
Lambert NJ, et al. COVID-19 "long hauler" symptoms survey report. Survivor Corps. https://www.survivorcorps.com/reports . Accessed Nov. 13, 2020.
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.
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.
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.
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.
Saeed S, et al. Coronavirus disease 2019 and cardiovascular complications: Focused clinical review. Journal of Hypertension. 2021; doi:10.1097/HJH.0000000000002819.
转载自:https://www.mayoclinic.org/zh-hans/diseases-conditions/coronavirus/in-depth/coronavirus-long-term-effects/art-20490351