Department of Pediatric Anesthesiology at Westchester Medical Center, United States of America; New York Medical College, Valhalla, NY, United States of America.
Department of Pediatric Anesthesiology at Westchester Medical Center, United States of America; New York Medical College, Valhalla, NY, United States of America.
J Clin Anesth. 2020 Nov;66:109914. doi: 10.1016/j.jclinane.2020.109914. Epub 2020 May 25.
• Although severe multisystemic manifestations have been defined in adults, there is limited data on the disease burden of COVID-19 in infants and children. • We present the case of a 15-day-old infant who was born with Tetralogy of Fallot (TOF), and was found to be COVID-19 positive on day 7 of life. • Among symptomatic children, 5% have dyspnea or hypoxemia, and 0.6% progress to acute respiratory distress or multi organ dysfunction. • In the face of this sustained public health crisis, the concomitant occurrence of SARS-CoV-2 with pediatric congenital heart disease may become more common; guidance on appropriate management of patients is imperative to ensure patient safety.
• 尽管在成人中已经定义了严重的多系统表现，但关于 COVID-19 在婴儿和儿童中的疾病负担的数据有限。• 我们报告了一例 15 天大的婴儿，该婴儿患有法洛四联症（TOF），在出生后第 7 天被发现 COVID-19 呈阳性。• 在有症状的儿童中，有 5%出现呼吸困难或低氧血症，0.6%进展为急性呼吸窘迫或多器官功能障碍。• 在面临这场持续的公共卫生危机时，SARS-CoV-2 与儿科先天性心脏病同时发生的情况可能会更加常见；为确保患者安全，指导患者的适当管理势在必行。
