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The internist during the COVID-19 pandemic

机译:Covid-19流行病中的内科医生

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In the wake of the novel coronavirus infection disease 2019 (COVID-19) pandemic, it is abundantly clear to all the necessity of studying the pathology and widespread health consequences associated with the virus. However, what is much less clear is the impact of COVID-19 on specialist medical skills. COVID-19 disrupted routines in hospitals, healthcare institutions, and beyond. During the COVID-19 pandemic, Lombard Internal Medicine Departments, present in all the hospitals of the Lombardy Region - were quickly and promptly reorganized, becoming primarily areas for the management of patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pneumonia.1 This because, as the numerous recent studies, also published by our group, have shown, SARS-CoV-2 disease showed a clinical and pathophysiological picture very similar to that of inflammatory diseases with multisystemic involvement and organ damage that went from vasculitic skin damage2 to microangiopathic and thrombotic damage.3,4 This is due to the cytokine storm development inducing extensive lung damage in which cells of the inflammatory cascade play a fundamental role as known in viral and bacterial infections.
机译:在2019年(Covid-19)大流行的新型冠状病毒感染疾病之后,对研究病理学和与病毒相关的普遍存在后果的所有必要性都很明显。然而,什么不太清楚的是Covid-19对专业医疗技能的影响。 Covid-19中断了医院,医疗机构及以后的惯例。在Covid-19大流行期间,伦巴第内科部门,在伦巴第地区的所有医院中,迅速和迅速重新组织,主要成为患有严重急性呼吸综合征冠状病毒2(SARS-COV-2)患者管理的领域肺炎为此,因为,随着近期发表的近期研究,SARS-COV-2疾病表明,临床和病理生理学图谱非常类似于炎症性疾病的炎症性疾病和来自武器的器官损伤皮肤病2至微肿瘤疗法和血栓形成损伤.3,4这是由于细胞因子暴雨发育诱导广泛的肺部损伤,其中炎症级联的细胞在病毒和细菌感染中发挥着重要作用。

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