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Ultima descărcare din IBN: 2023-06-20 20:29 |
Căutarea după subiecte similare conform CZU |
616.233-007.271:616.24-002:616.98:578.834 (1) |
Patologia sistemului respirator. Tulburări ale organelor de respiraţie (757) |
Boli transmisibile. Boli infecţionase şi contagioase, stări febrile (585) |
Virologie (443) |
SM ISO690:2012 ROMANIUC, Daria, ȘIȘIANU, Daniela, FETCO-MEREUŢĂ, Diana, TALMACI, Cornelia, SUMARGA, Natalia, DUMITRAS, Mariana. Bronhoobstructive syndrome in patients with SARS-CoV-2 viral pneumonia. In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 198. ISSN 2345-1467. |
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Revista de Ştiinţe ale Sănătăţii din Moldova | ||||||
Numărul 3 An.1(29) / 2022 / ISSN 2345-1467 | ||||||
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CZU: 616.233-007.271:616.24-002:616.98:578.834 | ||||||
Pag. 198-198 | ||||||
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Background. Etiopathogenically, bronchoobstructive syndrome (BOS) can be of several phenotypes, being associated with pulmonary and extrapulmonary diseases. Considering the importance of BOS and a high incidence of COVID-19 pneumonia, we conducted the study dedicated to the association of these two problems. Objective of the study. To evaluate clinical and paraclinical features of BOS in COVID-19 pneumonia, depending on the age of the patients. Material and methods. The study was conducted during April 2020 October 2021. The study included 61 patients in severe condition, hospitalized to the СОVID-19 Triage Department of “St. Trinity” Municipal Clinical Hospital. The patients were divided into 2 groups, depending on age: group 1 - under the age of 65 (31 patients) and group 2 - aged ≥ 65 years (30 patients). Results. In our study, the predominant phenotypic associations of BOS were as follows: infectious-inflammatory phenotype plus hemodynamic plus metabolic (64% in group 1 vs 40% in group 2) and infectious-inflammatory phenotype (9.7% in group 1 versus 43.4% in group 2, p < 0.05). In both groups, wheezes were observed 4 times more frequently than rhonchi. Hypocalcemia capable of influencing the evolution of BOS was observed in 2/3 of the patients in both groups. Arterial blood gasimetry showed: respiratory acidosis, hypercapnia and hypoxemia, observed in both groups of patients. Conclusions. In most of the patients in the study, we observed associations of different phenotypes of bronchoobstructive syndrome. The commonest complication was acute hypercapnic respiratory failure caused by BOS and associated with hypoxemia due to COVID-19 pneumonia. |
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Cuvinte-cheie bronchoobstructive syndrome, pneumonia, COVID-19, sindromul bronhoobstructiv, pneumonia, COVID-19 |
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