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妊娠合并慢性活动性乙型肝炎与新型冠状病毒肺炎:一例报告

Chronic Active Hepatitis B with COVID-19 in Pregnancy: A Case Report.

作者信息

Li Qiu-Yu, An Zhuo-Yu, Li Chao, Zu Ming, Chen Lei, Zhang Jia-Nan, Zhao Yang-Yu, Shen Ning, Ge Qing-Gang

机构信息

Department of Respiratory and Critical Care Medicine, Peking University Third Hospital, Beijing, China.

Peking University Institute of Hematology, Peking University People's Hospital, Beijing, China.

出版信息

J Clin Transl Hepatol. 2021 Feb 28;9(1):133-135. doi: 10.14218/JCTH.2020.00085. Epub 2021 Jan 19.

DOI:10.14218/JCTH.2020.00085
PMID:33604264
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7868702/
Abstract

Currently, infection with coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), during pregnancy is a problem worthy of attention, especially in patients with underlying diseases. In this case report, we present a case of chronic active hepatitis B with COVID-19 in pregnancy. A 31-year-old woman at 29 weeks of gestation who had a history of chronic hepatitis B virus infection discontinued antiviral treatment, was admitted to the hospital with chronic active hepatitis B, and tested positive for SARS-CoV-2 infection. In this case, we applied liver protective and antiviral agents, and low-dose dexamethasone therapy to successfully treat the critically ill pregnant woman suffering from chronic active hepatitis B combined with COVID-19.

摘要

目前,由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起的2019冠状病毒病(COVID-19)感染在孕期是一个值得关注的问题,尤其是在患有基础疾病的患者中。在本病例报告中,我们呈现了一例妊娠期慢性活动性乙型肝炎合并COVID-19的病例。一名31岁、孕29周且有慢性乙型肝炎病毒感染病史的女性停止了抗病毒治疗,因慢性活动性乙型肝炎入院,并检测出SARS-CoV-2感染呈阳性。在此病例中,我们应用了肝保护剂和抗病毒药物以及小剂量地塞米松治疗,成功救治了这位患有慢性活动性乙型肝炎合并COVID-19的重症孕妇。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33fb/7868702/6fa5b028f622/JCTH-9-133-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33fb/7868702/6fa5b028f622/JCTH-9-133-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33fb/7868702/6fa5b028f622/JCTH-9-133-g001.jpg

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J Reprod Immunol. 2020 Nov;142:103180. doi: 10.1016/j.jri.2020.103180. Epub 2020 Jul 18.
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Liver Enzyme Elevation in Coronavirus Disease 2019: A Multicenter, Retrospective, Cross-Sectional Study.新型冠状病毒肺炎患者肝酶升高:一项多中心回顾性横断面研究。
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Coagulation abnormalities and thrombosis in patients with COVID-19.新型冠状病毒肺炎患者的凝血异常与血栓形成
Lancet Haematol. 2020 Jun;7(6):e438-e440. doi: 10.1016/S2352-3026(20)30145-9. Epub 2020 May 11.
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