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作 者:深圳市第三人民医院 国家感染性疾病临床医学研究中心 深圳市感染性疾病质量控制中心 卢洪洲 刘映霞[2,3] 袁静 Shenzhen Third People’s Hospital;National Clinical Research Center for Infectious Diseases;Shenzhen Infectious Disease Quality Control Center
机构地区:[1]不详 [2]深圳市第三人民医院/国家感染性疾病临床医学研究中心 [3]深圳市感染性疾病质量控制中心 [4]深圳市第三人民医院感染科
出 处:《中华临床感染病杂志》2023年第6期427-445,共19页Chinese Journal of Clinical Infectious Diseases
基 金:“十四五”国家重点研发计划(2021YFC2301803);广东省高水平临床重点专科(SZGSP011)。
摘 要:目前,我国进入新型冠状病毒感染(COVID-19)“乙类乙管”常态化防控阶段,这标志着COVID-19从紧急状态向新常态转变,但与COVID-19相关的“长新冠”可以出现全身多系统症状并带来长期的影响,给全球公共卫生带来了新的挑战。目前国内针对长新冠综合征的诊治、随访及多学科管理尚缺乏相应的共识,相关诊疗工作的开展主要依靠各学科及各中心的经验。本共识基于国内外长新冠综合征的临床与基础研究数据,以及循证医学证据,从长新冠综合征的流行病学、定义、各系统临床表现、辅助检查、诊断、治疗、随访及管理策略等方面进行阐述,提炼出16条共识建议,为指导临床正确评估与管理长新冠综合征提供理论依据和实践参考。China has entered the regular prevention and control stage of the COVID-19 epidemic,which marks the transition of COVID-19 from an emergency state to a stable state.However,a novel syndrome known as“long COVID”has emerged,the term describes a set of symptoms that persist after a minimum of 4 weeks from the onset of a diagnosed COVID-19 infection.At present,there is no consensus on the diagnosis,treatment,follow-up and multidisciplinary management of long COVID syndrome in China;and the development of relevant diagnosis and treatment mainly depends on the experience of various institutions and centers.Based on the clinical and basic research data of long COVID syndrome at home and abroad,as well as the evidence-based medicine,this consensus elaborates on the epidemiology,definition,clinical manifestations,lab and imaging examinations,diagnosis,treatment,follow-up and management strategies of long COVID syndrome,and puts forward 16 consensus recommendations.The consensus will provide guidance for clinical assessment and management of long COVID syndrome.
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