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Coronavirus: Lung transplant 'only hope' for some

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Scientists say that it will damage the lungs so badly that transplantation is the patient's "only hope".

However, it can cause an inflammatory disease called COVID-19.

And those who died of this disease.

The results show that the coronavirus can destroy the "basic frame" of the lungs, making the organs unable to recover.

Scientists believe that under these extreme conditions, lung transplantation is "the only hope for survival."

To date, eight COVID-19 patients have undergone double lung transplants at Northwestern Hospital in the United States, and Memorial Hospital is part of the hospital-which is said to have the highest execution rate of any health system in the world.

The research team added that after receiving a new lung, patients tend to recover quickly.

Lead author Dr. Ankit Bharat said: "We have provided clear evidence that COVID-19 may cause permanent damage to the lungs in some patients, and for these patients, lung transplantation is the only hope for survival."

However, Dr. Len Horovitz from Lenox Hill Hospital in New York City emphasized that extreme surgery is "reserved for a very small number of patients."

Lung transplants are generally considered safe, but they may have side effects.

Dr. Horowitz said: "The complications of transplantation include infection (and possibly even re-use of COVID-19), bacterial infection and possible rejection of the transplanted lung."

After analyzing severe and dead COVID patients, scientists discovered so-called KRT17 cells in the lung tissue of those with irreversible damage.

The same cells are also found in patients with end-stage pulmonary fibrosis, which is the medical term for lung scarring.

"Like pulmonary fibrosis, we found that COVID-19 caused the recruitment of circulating immune cells called monocytes, which may be recruited to the lungs to kill the virus," said co-author Dr. Scott Budinger.

In fibrotic lung, these cells also promote the formation of fibrotic scar tissue.

"These cells can be easily and safely sampled and can also help mark patients who cannot recover from COVID-19."

The same cells may also be the cause of the structural collapse of the lungs.

Dr. Barat said: "The progenitor cells in the lung (basic cells that can become more specialized) necessary for healing can refill lung wounds by moving along the basic underlying framework of the lung matrix."

"When the framework is destroyed, the progenitor cells have nowhere to go, and large holes are formed in the lungs to cover up the infection. This is also an observation that we have made in these patients' arduous transplant operations.

"Think of it this way; after the earthquake, if the basic structure of the building survives, it can still be renovated. However, if it is leveled, the only option is to replace it."

The better news is that the coronavirus has not recovered among patients in the Northwest region who have undergone lung transplants so far.

Although immunosuppressive drugs are used to reduce the risk of rejection of donor organs, this is still feasible.

Scientists have also discovered that patients can be placed on Extracorporeal Membrane Oxygenation (ECMO) while waiting for transplantation, which is like the heart and lungs for life support.

The most recent Northwestern transplant was performed on Thanksgiving. The patient spent 130 days on ECMO, which is the longest time before transplantation in the world.

This is not the first time experts have labeled how the coronavirus affects the structure of the lungs.

November,

It was found that most of the victims caused "extensive lung damage" due to "serious damage to normal lung structure".

Nine out of ten cells also have abnormally large cells caused by the fusion of several smaller cells, which can lead to dangerous inflammation and blood clots.

In June, the doctor

Thousands of survivors need to be summoned to check for pulmonary fibrosis.

Dr. Sam Hare of the British Society said: "So far, in our six-week scan, 20% to 30% of hospitalized patients seem to show early lung scarring. Signs." Chest imaging.

Professor Mauro Giacca of the University Hospital of Trieste previously told Congress that the lungs of some coronavirus victims were completely unrecognizable.

He added that the deceased had been in the hospital for more than a month and "the structure of his lungs was completely broken."

"In some cases, you can't even tell that it was once a lung."

Coronavirus is one of the seven virus categories that are known to infect humans.

Others include Severe Acute Respiratory Syndrome (Sars) and Middle East Respiratory Syndrome (Mers), which caused 774 and 858 deaths in 2002/3 and 2012, respectively.

It is said that 20% to 60% of Sars and Mers survivors experience health problems similar to pulmonary fibrosis.

Over time, this situation usually eases.

"My concern with COVID-19 is that [people infected with non-Sass or Myers] have infected [more] the population," Dr. Halle said.

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