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中国武汉 COVID-19 孕妇十例临床分析：回顾性研究。

Clinical analysis of ten pregnant women with COVID-19 in Wuhan, China: A retrospective study.

机构信息

Department of Obstetrics, Maternal and Child Health Hospital of Hubei Province, Tongji Medical College, Huazhong University of Science and Technology, No. 745, Wuluo Road, Hongshan District, Wuhan 430070, China.

Department of Gynecology and Obstetrics, Wuhan University of Science and Technology, No.2, huangjiahu west road, hongshan district, wuhan 430065, China.

出版信息

Int J Infect Dis. 2020 Jun;95:294-300. doi: 10.1016/j.ijid.2020.04.047. Epub 2020 Apr 23.

DOI:10.1016/j.ijid.2020.04.047
PMID:32335338
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7179499/
Abstract

BACKGROUND

COVID-19 is spreading globally. This study aims to evaluate the clinical characteristics and outcomes of pregnant women confirmed with COVID-19 to provide reference for clinical work.

METHODS

The clinical features and outcomes of 10 pregnant women confirmed with COVID-19 at Maternal and Child Health Hospital of Hubei Province, Tongji Medical College, Huazhong University of Science and Technology, a tertiary- care teaching hospital in Hubei province, Wuhan, China from January 23 to February 23, 2020 were retrospectively analyzed.

RESULTS

All the 10 observed pregnant women including 9 singletons and 1 twin were native people in Wuhan. All of them were diagnosed mild COVID-19, and none of the patients developed severe COVID-19 or died. Among the 10 patients, two patients underwent vaginal delivery, two patients underwent intrapartum cesarean section, and the remaining six patients underwent elective cesarean section. All of 10 patients showed lung abnormalities by pulmonary CT images after delivery. Their eleven newborns were recorded and no neonatal asphyxia was observed.

CONCLUSIONS

Pulmonary CT screening on admission may be necessary to reduce the risk of nosocomial transmission of COVID-19 during the outbreak period. And COVID-19 is not an indication of cesarean section.

摘要

背景

COVID-19 在全球范围内传播。本研究旨在评估确诊为 COVID-19 的孕妇的临床特征和结局，为临床工作提供参考。

方法

回顾性分析 2020 年 1 月 23 日至 2 月 23 日期间，华中科技大学同济医学院附属湖北省妇幼保健院 10 例确诊为 COVID-19 的孕妇的临床特征和结局。这是一家位于中国武汉的三级甲等教学医院。

结果

10 例观察孕妇均为武汉本地人，包括 9 例单胎和 1 例双胎。均诊断为轻症 COVID-19，无患者发展为重症 COVID-19 或死亡。10 例患者中，2 例经阴道分娩，2 例经阴道分娩，6 例经择期剖宫产。所有 10 例患者产后肺部 CT 图像均显示肺部异常。记录了他们的 11 名新生儿，未观察到新生儿窒息。

结论

在疫情期间，入院时进行肺部 CT 筛查可能有助于降低 COVID-19 医院内传播的风险。此外，COVID-19 不是剖宫产的指征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/349d/7179499/888e82ab44b1/gr10_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/349d/7179499/1a1aac84b82b/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/349d/7179499/6d944ba0b987/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/349d/7179499/285b51d5285c/gr3_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/349d/7179499/512f6cf9feb2/gr4_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/349d/7179499/c8c1a85e768f/gr5_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/349d/7179499/3ada5b1c5d32/gr6_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/349d/7179499/065430d2a5cc/gr7_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/349d/7179499/a0c8fc8de6dc/gr8_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/349d/7179499/ae6a251e72c9/gr9_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/349d/7179499/888e82ab44b1/gr10_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/349d/7179499/1a1aac84b82b/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/349d/7179499/6d944ba0b987/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/349d/7179499/285b51d5285c/gr3_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/349d/7179499/512f6cf9feb2/gr4_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/349d/7179499/c8c1a85e768f/gr5_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/349d/7179499/3ada5b1c5d32/gr6_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/349d/7179499/065430d2a5cc/gr7_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/349d/7179499/a0c8fc8de6dc/gr8_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/349d/7179499/ae6a251e72c9/gr9_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/349d/7179499/888e82ab44b1/gr10_lrg.jpg

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