国际生殖健康/计划生育 ›› 2020, Vol. 39 ›› Issue (6): 473-476.

• 病例报告 • 上一篇    下一篇

妊娠晚期合并新型冠状病毒肺炎一例并文献复习

冯琴琴,王芬,游爱平,谌章舟   

  1. 435003  湖北省鄂东医疗集团黄石市妇幼保健院产科(冯琴琴,王芬,游爱平);湖北理工学院医学院(谌章舟)
  • 收稿日期:2020-04-16 修回日期:2020-07-02 出版日期:2020-11-15 发布日期:2020-11-15
  • 通讯作者: 谌章舟 E-mail:shen7279@163.com
  • 作者简介:谌章舟,E-mail:shen7279@163.com

A Case Report of COVID-19 in the Third Trimester of Pregnancy and Literature Review

FENG Qin-qin,WANG Fen,YOU Ai-ping,SHEN Zhang-zhou   

  1. Department of Obstetrics,Huangshi Maternal and Children Health Hospital,Edong Healthcare,Huangshi 435003,Hubei Province,China(FENG Qin-qin,WANG Fen,YOU Ai-ping);Medical College,Hubei Polytechnic University,Huangshi 435003,Hubei Province,China(SHEN Zhang-zhou)
  • Received:2020-04-16 Revised:2020-07-02 Published:2020-11-15 Online:2020-11-15
  • About author:SHEN Zhang-zhou,E-mail:shen7279@163.com

摘要: 新型冠状病毒肺炎作为一种传染性较强的新发传染病对孕产妇产生极大威胁,当前尚无疫苗等有效预防手段和特效治疗药物。2020年1月收治1例妊娠晚期妇女,经血常规和计算机断层扫描(CT)检查初步诊断为妊娠合并肺部感染、轻度贫血、胎儿窘迫。急诊实施剖宫产术终止妊娠,新生儿Apgar评分正常。患者进一步进行新型冠状病毒核酸检测为阳性,经营养支持和抗病毒等治疗后,病情好转且最终治愈。该病例提示妊娠晚期合并新型冠状病毒肺炎患者及时终止妊娠后母婴结局良好,但对其长远影响及是否存在母婴垂直传播尚待进一步研究。

关键词: 妊娠末期;, 新型冠状病毒肺炎;, 肺炎;, 妊娠结局;, 治疗结果

Abstract: COVID-19 as a new infectious disease with strong infectivity poses a great threat to pregnant women. However, there are no vaccine and other effective preventive means, and special treatment drugs, for COVID-19 at present. A pregnant woman at the third trimester was admitted to our hospital and preliminarily diagnosed as the pregnancy complicated with pulmonary infection, mild anemia and fetal distress by the blood routine and CT examination in January, 2020. The emergency cesarean section was performed, the neonatal Apgar score was normal after cesarean section. The patient was showed the positive under the further test of SARS-CoV-2 nucleic acid. The nutritional support and antiviral therapy were given, with well nursing support. The women and baby eventually obtain the cure. This case provided us information that the pregnancy women with COVID-19 can have a good outcome after timely termination of pregnancy in the third trimester. However, the long-term effects and the existence of vertical transmission between mother and child are yet to be further studied.

Key words: Pregnancy trimester, third;, COVID-19;, Pneumonia;, Pregnancy outcome;, Treatment outcome