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妊娠期单侧肺纤维化:结核后遗症

Unilateral Pulmonary Fibrosis in Pregnancy: A Post-Tubercular Sequelae.

作者信息

Sharma Tanishq S, Amin Shivang, Sapre Shilpa, Golani Palak, Zala Sheetalba

机构信息

Medicine, Shree Krishna Hospital, Anand, IND.

Obstetrics and Gynaecology, Pramukhswami Medical College, Anand, IND.

出版信息

Cureus. 2020 Dec 3;12(12):e11864. doi: 10.7759/cureus.11864.

Abstract

Pulmonary tuberculosis (TB) is one of the top 10 leading causes of death in the world. Multi-drug resistant TB can lead to short-term and long-term sequelae causing clinical, psychosocial, and financial burden on the diseased. Pregnancy in a woman with compromised pulmonary function is a challenge for the treating obstetrician. A multidisciplinary approach involving a respiratory physician, pre-conceptional counseling, and delivery at a tertiary care center can reduce maternal morbidity and mortality. Compliance with anti-tubercular treatment with regular follow-up can minimize the long term effects of pulmonary TB. We report a case of unilateral lung collapse due to multidrug-resistant pulmonary TB in pregnancy with good maternal and fetal outcomes.

摘要

肺结核是全球十大主要死因之一。耐多药结核病可导致短期和长期后遗症,给患者带来临床、心理社会和经济负担。肺功能受损的女性怀孕对产科医生的治疗来说是一项挑战。采用多学科方法,包括呼吸内科医生参与、孕前咨询以及在三级医疗中心分娩,可降低孕产妇发病率和死亡率。坚持抗结核治疗并定期随访可将肺结核的长期影响降至最低。我们报告一例妊娠合并耐多药肺结核导致单侧肺萎陷的病例,母婴结局良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71a4/7781547/ceacdba02731/cureus-0012-00000011864-i01.jpg

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