Paramanathan S, Kyng K J, Laursen A L, Jensen L D, Grejs A M, Jain D
Department of Anaesthesiology, Aarhus University Hospital, Aarhus, Denmark.
Department of Pediatrics and Adolescent Medicine, Aarhus University Hospital, Aarhus, Denmark.
Case Rep Womens Health. 2021 Apr;30:e00304. doi: 10.1016/j.crwh.2021.e00304. Epub 2021 Mar 8.
We report the case of a 25-year-old pregnant woman, parity one, at 34 + 2 weeks of gestation, with a body mass index of 41 kg/m2 but no other comorbidities. There was a family history of COVID-19 among her one-year-old son, husband, brother, father and mother. She was admitted with chest pain and a nasopharyngeal swap positive for COVID-19. Due to the severity of the infection, a multidisciplinary team of anaesthesiologists, intensivists, obstetricians, neonatologists, and infectious disease specialists recommended delivery by caesarean section at 35 + 0 weeks of gestation, with combined spinal and epidural anaesthesia. Three days after delivery, the patient developed severe acute respiratory distress syndrome (ARDS) and was intubated for 25 days. The neonate was observed in the neonatal intensive care unit and no vertical transmission occurred. This case highlights the importance of the timing of delivery, the need for extended postpartum observation and a beneficial effect of inhaled nitric oxide after delivery for women with COVID-19.
我们报告了一例25岁、孕1产0、妊娠34⁺²周的孕妇病例，其体重指数为41kg/m²，但无其他合并症。她一岁的儿子、丈夫、哥哥、父亲和母亲均有新冠病毒病（COVID-19）家族史。她因胸痛入院，鼻咽拭子检测COVID-19呈阳性。由于感染严重，麻醉科医生、重症医学专家、产科医生、新生儿科医生和传染病专家组成的多学科团队建议在妊娠35⁺⁰周时行剖宫产分娩，并采用腰麻联合硬膜外麻醉。分娩后三天，患者出现严重急性呼吸窘迫综合征（ARDS），插管25天。新生儿在新生儿重症监护病房接受观察，未发生垂直传播。该病例强调了分娩时机的重要性、产后延长观察的必要性以及吸入一氧化氮对COVID-19感染女性分娩后的有益作用。
