Pourdowlat Guitti, Mikaeilvand Amir, Eftekhariyazdi Mitra, Nematshahi Mohammad, Ebrahimi Masoud, Kazemzadeh Asghar
Chronic Respiratory Diseases Research Center, National Research Institute of Tuberculosis and Lung Disease (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Cardiology, Shahid Taleghani Teaching Hospital, Urmia University of Medical Sciences, Urmia, Iran.
Tanaffos. 2020 Nov;19(2):152-155.
A 25-year-old pregnant woman (gestational age: 24 weeks) presented with severe coronavirus disease-2019 (COVID-19) infection. Deterioration of her respiratory status resulted in her admission to the intensive care unit and mechanical ventilator support. Considering the lack of improvement in oxygen saturation, teleconsultation was performed, suggesting prone-position ventilation (PPV). Significant improvements were observed in oxygen saturation. The patient was extubated after five days of intermittent PPV and supine-position ventilation and was discharged 20 days after admission. Also, assessments revealed that the fetus was unharmed by the intervention. We suggest considering PPV for pregnant women with acute respiratory distress syndrome (ARDS).
一名25岁的孕妇（孕周：24周）出现了严重的2019冠状病毒病（COVID-19）感染。她的呼吸状况恶化，导致她被收入重症监护病房并接受机械通气支持。考虑到氧饱和度没有改善，进行了远程会诊，建议采用俯卧位通气（PPV）。氧饱和度有了显著改善。在间歇性PPV和仰卧位通气5天后，患者拔管，并在入院20天后出院。此外，评估显示胎儿未受该干预措施的影响。我们建议对患有急性呼吸窘迫综合征（ARDS）的孕妇考虑采用PPV。
