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酷似新型冠状病毒肺炎感染的围产期心肌病

Peripartum cardiomyopathy mimicking COVID-19 infection.

作者信息

Garg Shaloo, Singh Archana, Kalita Mukesh, Siddiqui Ayesha Zafar, Kapoor Mukul Chandra

机构信息

Max Smart Super-Specialty Hospital, Saket, New Delhi, India.

出版信息

J Anaesthesiol Clin Pharmacol. 2020 Aug;36(Suppl 1):S44-S47. doi: 10.4103/joacp.JOACP_267_20. Epub 2020 Jul 25.

DOI:10.4103/joacp.JOACP_267_20
PMID:33100645
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7573998/
Abstract

A pregnant patient presented with fever and desaturation, without breathlessness. She was suspected to have COVID-19 but SARS-CoV-2 was negative. She developed fetal distress and underwent an uneventful Cesarean section. Postoperatively, she developed respiratory distress and needed mechanical ventilation support. The clinical features suggested COVID-19 infection and antiviral treatment were empirically initiated. Repeat SARS-CoV-2 was negative. Echocardiography, computed tomography scans, and biochemical investigations supported a diagnosis of peripartum cardiomyopathy. She was successfully managed with decongestive therapy and could be discharged home on the fifth day.

摘要

一名孕妇出现发热和血氧饱和度下降，但无呼吸急促症状。她被怀疑感染了新冠病毒，但严重急性呼吸综合征冠状病毒2（SARS-CoV-2）检测呈阴性。她出现了胎儿窘迫并接受了顺利的剖宫产手术。术后，她出现了呼吸窘迫，需要机械通气支持。临床特征提示为新冠病毒感染，遂经验性地开始抗病毒治疗。再次检测SARS-CoV-2仍为阴性。超声心动图、计算机断层扫描和生化检查支持围产期心肌病的诊断。她通过抗充血治疗成功治愈，并于第五天出院回家。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79d0/7573998/ad213ee7f47d/JOACP-36-44-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79d0/7573998/a0683d9aed97/JOACP-36-44-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79d0/7573998/ad213ee7f47d/JOACP-36-44-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79d0/7573998/a0683d9aed97/JOACP-36-44-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79d0/7573998/ad213ee7f47d/JOACP-36-44-g002.jpg

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本文引用的文献

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COVID-19 pneumonia: different respiratory treatments for different phenotypes?新冠肺炎：针对不同表型采用不同的呼吸治疗方法？
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Management of pregnant women infected with COVID-19.新型冠状病毒肺炎感染孕妇的管理
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Radiology. 2020 Jun;295(3):715-721. doi: 10.1148/radiol.2020200370. Epub 2020 Feb 13.
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