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本文引用的文献

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Coronavirus disease 2019 in pregnancy: early lessons.新型冠状病毒肺炎在妊娠期的表现:早期经验教训。
Am J Obstet Gynecol MFM. 2020 May;2(2):100111. doi: 10.1016/j.ajogmf.2020.100111. Epub 2020 Mar 27.
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Clinical Characteristics of COVID-19 Patients With Digestive Symptoms in Hubei, China: A Descriptive, Cross-Sectional, Multicenter Study.中国湖北有消化道症状的 COVID-19 患者的临床特征:一项描述性、横断面、多中心研究。
Am J Gastroenterol. 2020 May;115(5):766-773. doi: 10.14309/ajg.0000000000000620.
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Covid-19 in Critically Ill Patients in the Seattle Region - Case Series.西雅图地区危重症新冠患者-病例系列。
N Engl J Med. 2020 May 21;382(21):2012-2022. doi: 10.1056/NEJMoa2004500. Epub 2020 Mar 30.
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Clinical analysis of pregnant women with 2019 novel coronavirus pneumonia.新型冠状病毒肺炎孕妇的临床分析。
J Med Virol. 2020 Sep;92(9):1556-1561. doi: 10.1002/jmv.25789. Epub 2020 Apr 10.
5
Clinical features and obstetric and neonatal outcomes of pregnant patients with COVID-19 in Wuhan, China: a retrospective, single-centre, descriptive study.中国武汉 COVID-19 孕妇的临床特征及母婴结局:一项回顾性、单中心、描述性研究。
Lancet Infect Dis. 2020 May;20(5):559-564. doi: 10.1016/S1473-3099(20)30176-6. Epub 2020 Mar 24.
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Potential Effects of Coronaviruses on the Cardiovascular System: A Review.冠状病毒对心血管系统的潜在影响:综述。
JAMA Cardiol. 2020 Jul 1;5(7):831-840. doi: 10.1001/jamacardio.2020.1286.
7
Neonatal Early-Onset Infection With SARS-CoV-2 in 33 Neonates Born to Mothers With COVID-19 in Wuhan, China.中国武汉 33 例感染新冠病毒的 COVID-19 产妇所生新生儿的早发性新生儿感染。
JAMA Pediatr. 2020 Jul 1;174(7):722-725. doi: 10.1001/jamapediatrics.2020.0878.
8
Possible Vertical Transmission of SARS-CoV-2 From an Infected Mother to Her Newborn.可能存在感染 SARS-CoV-2 的母亲将病毒垂直传播给新生儿的情况。
JAMA. 2020 May 12;323(18):1846-1848. doi: 10.1001/jama.2020.4621.
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Severe Outcomes Among Patients with Coronavirus Disease 2019 (COVID-19) - United States, February 12-March 16, 2020.2020 年 2 月 12 日至 3 月 16 日,美国 2019 冠状病毒病(COVID-19)患者的严重结局。
MMWR Morb Mortal Wkly Rep. 2020 Mar 27;69(12):343-346. doi: 10.15585/mmwr.mm6912e2.
10
Hydroxychloroquine and azithromycin as a treatment of COVID-19: results of an open-label non-randomized clinical trial.羟氯喹和阿奇霉素治疗 COVID-19:一项开放标签非随机临床试验的结果。
Int J Antimicrob Agents. 2020 Jul;56(1):105949. doi: 10.1016/j.ijantimicag.2020.105949. Epub 2020 Mar 20.

COVID-19 大流行期间的产科护理注意事项。

Considerations for Obstetric Care during the COVID-19 Pandemic.

机构信息

Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, North Carolina.

出版信息

Am J Perinatol. 2020 Jun;37(8):773-779. doi: 10.1055/s-0040-1710051. Epub 2020 Apr 17.

DOI:10.1055/s-0040-1710051
PMID:32303077
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7356077/
Abstract

The novel coronavirus disease 2019 (COVID-19) is a growing pandemic that is impacting daily life across the globe. Though disease is often mild, in high-risk populations, severe disease often leads to intubation, intensive care admission (ICU) admission, and in many cases death. The implications for pregnancy remain largely unknown. Early data suggest that COVID-19 may not pose increased risk in the pregnant population. Vertical transmission has not been confirmed. Because no treatment, no vaccine and no herd immunity exist, social distancing is the best mechanism available to protect patients and health care workers from infection. This review will discuss what is known about the virus as it relates to pregnancy and then consider management considerations based on these data. KEY POINTS: · COVID-19 severity in pregnancy is unclear.. · Social distancing is the best protective mechanism.. · No clear evidence of vertical transmission exists.. · Mother/baby separation avoids transmission..

摘要

2019 年新型冠状病毒病(COVID-19)是一种日益严重的大流行病,正在影响全球各地的日常生活。虽然疾病通常较轻,但在高危人群中,严重疾病通常会导致插管、重症监护病房(ICU)入院,在许多情况下还会导致死亡。其对妊娠的影响在很大程度上尚不清楚。早期数据表明,COVID-19 对孕妇人群可能不会增加风险。垂直传播尚未得到证实。由于没有治疗方法、疫苗和群体免疫,因此保持社交距离是保护患者和医护人员免受感染的最佳机制。这篇综述将讨论已知与妊娠有关的病毒,并根据这些数据考虑管理注意事项。 要点: · 妊娠 COVID-19 的严重程度尚不清楚。 · 保持社交距离是最佳的保护机制。 · 没有明确的垂直传播证据。 · 母婴分离可避免传播。