其實,免疫功能低下的HIV病人感染新冠的案例中,病死率較高。 曾看過一篇論文
https://www.thelancet.com/journals/lanhiv/article/PIIS2352-3018(20)30305-2/fulltext
Results
17?282?905 adults were included, of whom 27?480 (0·16%) had HIV recorded. People living with HIV were more likely to be male, of Black ethnicity, and from a more deprived geographical area than the general population. 14?882 COVID-19 deaths occurred during the study period, with 25 among people with HIV. People living with HIV had higher risk of COVID-19 death than those without HIV after adjusting for age and sex: hazard ratio (HR) 2·90 (95% CI 1·96–4·30; p<0·0001). The association was attenuated, but risk remained high, after adjustment for deprivation, ethnicity, smoking and obesity: adjusted HR 2·59 (95% CI 1·74–3·84; p<0·0001). There was some evidence that the association was larger among people of Black ethnicity: HR 4·31 (95% CI 2·42–7·65) versus 1·84 (1·03–3·26) in non-Black individuals (p-interaction=0·044).
Interpretation
People with HIV in the UK seem to be at increased risk of COVID-19 mortality. Targeted policies should be considered to address this raised risk as the pandemic response evolves.
其實E博的設想不希奇,也許當年汪偽也是這麽想的,避免正麵對抗帶來的國破家亡。
可是病毒感染對器官、組織、細胞的傷害,遠不止於因子風暴。比如,對神經係統的直接損害,肺胞的不可逆性傷害,等等。
綏靖不能消除體內病毒,在缺乏有效藥物時,自己的免疫是唯一有效的防禦能力。醫生們能做的,是盡可能控製免疫激活帶來的附加傷害(collateral damages)