细胞因子
细胞激素风暴
医学
纤维蛋白原
细胞因子释放综合征
加药
白细胞介素6
内科学
胃肠病学
2019年冠状病毒病(COVID-19)
疾病
传染病(医学专业)
作者
Fred H. Hochberg,AMAURI BATISTA DASILVA,James J. Galdabini,E. P. Richardson
出处
期刊:Neurology
[Lippincott Williams & Wilkins]
日期:1974-12-01
卷期号:24 (12): 1144-1144
被引量:207
标识
DOI:10.1212/wnl.24.12.1144
摘要
Abstract
The IL-6 has been used for the characterization of the cytokine storm induced by SARS-CoV-2, but so far, no one has found out when and in whom the cytokine storm develops. Our study demonstrates how early and longitudinal clinical-based monitoring and dosing of five markers (C-reactive protein, IL-6, fibrinogen, ferritin and D-dimer) helped to identify who'd developed the cytokine storm. The peak of IL-6 in pg/mL proportionally higher than the peak of CRP in mg/L was sufficient to define the timing of the evolution of cytokine storm syndrome. The administration of antibiotic therapy, anticoagulant therapy and pulse therapy resolved the infection and prevented the progressive deterioration of the lung function of the patients with potential for development of severe COVID-19.
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