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COVID-19 对围产期护理的影响:危险因素、临床表现和预防。波兰专家 2020 年 12 月的意见。

COVID-19 impact on perinatal care: risk factors, clinical manifestation and prophylaxis. Polish experts' opinion for December 2020.

机构信息

Departament of Perinatology, I st Chair of Gynecology and Obstetrics, Medical University of Lodz, Poland.

1 st Department of Obstetrics and Gynecology, Medical University of Warsaw, Poland.

出版信息

Ginekol Pol. 2021;92(1):57-63. doi: 10.5603/GP.a2021.0023.

DOI:10.5603/GP.a2021.0023
PMID:33576491
Abstract

Rapid spread of severe acute respiratory syndrome coranovirus-2 virus (SARS-CoV-2) caused the pandemic of Coronavirus Disease 19 (COVID-19). Clinical course of the disease presents symptoms mainly from the respiratory system such as: cough, dyspnea and fever, and among some patients, can deteriorate even further to acute respiratory distress syndrome (ARDS), eventually leading to death. This outbreak, as well as previous ones (SARS, MERS) pose a significant challenge for health care managers, epidemiologists and physicians. Below we are presenting the clinical profile of the COVID-19 among special group of patients; pregnant women and newborns, who require special clinical management during hospitalization. In the summary of this manuscript, we present practical guidelines for managing pregnant women infected with SARS-CoV-2, labor and care of the newborn of a positive mother, as well as practical guidelines for COVID-19 vaccinations. It is important to stress, that this manuscript is based on information available as of December 2020.

摘要

严重急性呼吸综合征冠状病毒 2 型(SARS-CoV-2)的迅速传播导致了 19 冠状病毒病(COVID-19)的大流行。疾病的临床过程主要表现为呼吸系统症状,如咳嗽、呼吸困难和发热,在一些患者中,病情可能进一步恶化为急性呼吸窘迫综合征(ARDS),最终导致死亡。此次疫情以及之前的疫情(SARS、MERS)对医疗保健管理者、流行病学家和医生构成了重大挑战。下面我们介绍了特殊患者群体(孕妇和新生儿)的 COVID-19 临床特征,他们在住院期间需要特殊的临床管理。在本文的总结中,我们提出了管理感染 SARS-CoV-2 的孕妇、阳性母亲分娩和新生儿护理的实用指南,以及 COVID-19 疫苗接种的实用指南。需要强调的是,本文所依据的信息截至 2020 年 12 月。

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