PDF(Pubmed)
Abstract：
SARS-CoV-2 infection can cause a range of respiratory sequelae, especially in patients who have had severe Covid-19 pneumonia. Given the high number of patients who have developed this infection over a short period of time, numerous post-Covid-19 follow-up visits are being carried out, but no clinical follow-up protocol has been established to advise on the complementary tests to be performed and the frequency of these procedures. This consensus document was drawn up by professionals from different areas of the Spanish Society of Pulmonology and Thoracic Surgery (SEPAR) in order to assist the clinician in identifying possible respiratory complications that may occur during the months following the acute disease, and to protocolize their follow-up and additional tests to be performed. It recommends examinations and interventions to be carried out at various stages in the post-Covid-19 period, and details the specific objectives of these procedures. Primarily, we aim to ensure that patients receive timely clinical follow-up, following a pre-established schedule that takes into account the severity of the disease and the likelihood of long-term sequelae. Another objective is to avoid overloading the health system by eschewing examinations and/or consultations that are, in many cases, unnecessary. Finally, we define criteria for referring patients with specific established sequelae (interstitial lung disease, pulmonary vascular disease, bronchiectasis) to the corresponding specialized units.
摘要：
SARS-CoV-2感染可引起一系列呼吸道后遗症,特别是患有严重新冠肺炎的患者。鉴于在短时间内发生这种感染的患者人数众多，新冠肺炎后的后续访问正在进行中，但尚未建立临床随访方案来建议进行的补充试验和这些手术的频率.这份共识文件是由来自西班牙肺科和胸外科学会（SEPAR）不同领域的专业人士起草的，目的是帮助临床医生确定急性疾病后几个月可能发生的呼吸道并发症。并规范他们的后续行动和其他测试。它建议在新冠肺炎后的各个阶段进行检查和干预，并详细说明这些程序的具体目标。首先,我们的目标是确保患者得到及时的临床随访，遵循预先设定的时间表，该时间表考虑了疾病的严重程度和长期后遗症的可能性。另一个目标是通过避免检查和/或咨询来避免卫生系统过载，在许多情况下,不必要的。最后,我们定义了转诊有特定后遗症的患者的标准(间质性肺病，肺血管疾病,支气管扩张)到相应的专业单位。
