Вторичная организующаяся пневмония после перенесенной новой коронавирусной инфекции (обзор литературы)

Вторичная организующаяся пневмония после перенесенной новой коронавирусной инфекции (обзор литературы)

Автор: Гофман Л. С., Шендриков В. П., Мурлатова Е. Ю., Баздырев Е. Д.

Журнал: Сибирский журнал клинической и экспериментальной медицины @cardiotomsk

Рубрика: Обзоры и лекции

Статья в выпуске: 2 т.38, 2023 года.

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Новая коронавирусная инфекция (COVID-19) помимо угрожающего жизни острого течения способна приводить к развитию симптомов, сохраняющихся длительное время. Клиническая, радиологическая и гистопатологическая картина посткоронавирусной пневмонии имеет общие признаки со вторичной организующейся пневмонией (ВОП). Считается, что данный вариант пневмонии служит одним из вариантов осложнений во время болезни, что не только коррелирует с тяжестью заболевания, но и приводит к более высоким показателям смертности пациентов. Необходимо отметить, что рентгенологические симптомы пневмонии наблюдаются даже у выздоровевших лиц примерно в 67% случаев. Несмотря на то, что у 25% лиц заболевание разрешается самостоятельно, а у большинства других легко поддается лечению, в 5-8% случаев может развиться фиброз, сопровождающийся симптомами дыхательной недостаточности. Специфического метода лечения ВОП на фоне новой коронавирусной инфекции в настоящее время не существует, к терапии первой линии относят применение глюкокортикостероидов (ГКС). Несмотря на эффективность ГКС, курс лечения составляет в среднем более полугода, при этом высока вероятность рецидива при прекращении терапии. Для определения оптимальных дозировок и длительности ГКС в терапии ВОП после перенесенного COVID-19 зарегистрированы клинические исследования, но единого мнения по данному вопросу нет, он остается открытым. В данном обзоре представлена информация об организующейся пневмонии, а также ВОП на фоне перенесенной новой коронавирусной инфекции, ее рентгенологической картине и вариантах лечения в рамках проводимых клинических исследований.

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Новая коронавирусная инфекция, covid-19, постковидный синдром, интерстициальная пневмония, организующаяся пневмония, вторичная организующаяся пневмония, фиброз легких

Короткий адрес: https://sciup.org/149142850

IDR: 149142850   |   DOI: 10.29001/2073-8552-2023-38-2-64-71

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