发热伴血小板减少综合征发病机制及诊疗研究进展Research progress of pathogenesis, diagnosis and treatment of severe fever with thrombocytopenia syndrome
迪丽胡玛尔·扎衣尔,张斌,朱彬,田进,黄红明,张诗雨,王俊忠,郑昕,王宝菊
摘要(Abstract):
发热伴血小板减少综合征(severe fever with thrombocytopenia syndrome,SFTS)是由发热伴血小板减少综合征病毒(severe fever with thrombocytopenia syndrome virus,SFTSV),又称大别班达病毒(Dabie bandavirus,DBV)感染所致的急性蜱媒传染病。SFTSV能够影响天然免疫和获得性免疫中的多种免疫细胞,通过细胞因子和趋化因子的释放,使机体产生发热、血小板减少、白细胞减少、器官功能损害等,甚至导致多器官衰竭而造成患者死亡。尽管目前临床上暂无针对SFTSV的具有确切疗效的抗病毒药,但积极的支持对症治疗仍能挽救大部分SFTS患者的生命。为进一步了解SFTS,并探讨有效的SFTS诊疗手段,本文针对其发病机制及最新诊疗进展予以综述。
关键词(KeyWords): 发热伴血小板减少综合征;发热伴血小板减少综合征病毒;新型布尼亚病毒;大别班达病毒;发病机制;治疗
基金项目(Foundation): 国家重点研发计划(2021YFC2301803,2022YFC2305101);; 湖北省自然科学基金项目(创新群体项目)(2022CFA010)
作者(Author): 迪丽胡玛尔·扎衣尔,张斌,朱彬,田进,黄红明,张诗雨,王俊忠,郑昕,王宝菊
DOI: 10.16505/j.2095-0136.2024.2013
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