Department of Maternal and Child Health and Urological Sciences, Sapienza, University of Rome, Policlinico Umberto I, Viale del Policlinico 155, 00161 Rome, Italy.
Department of Surgery, "Pietro Valdoni", Sapienza University of Rome, Policlinico Umberto I, Viale del Policlinico 155, 00161 Rome, Italy.
Int J Environ Res Public Health. 2021 Mar 9;18(5):2762. doi: 10.3390/ijerph18052762.
Severe Acute Respiratory Syndrome coronavirus 2 (SARS-CoV-2) infection is a major health threat. Pregnancy can lead to an increased susceptibility to viral infections. Although chest computed tomography (CT) represents the gold standard for the diagnosis of SARS-CoV-2 pneumonia, lung ultrasound (LUS) could be a valid alternative in pregnancy. The objectives of this prospective study were to assess the role of LUS in the diagnosis of lung involvement and in helping the physicians in the management of affected patients. Thirty pregnant women with SARS-CoV-2 infection were admitted at the obstetrical ward of our Hospital. Mean age was 31.2 years, mean gestational age 33.8 weeks. Several LUS were performed during hospitalization. The management of the patients was decided according to the LUS score and the clinical conditions. Mean gestational age at delivery was at 37.7 weeks, preterm birth was induced in 20% of cases for a worsening of the clinical conditions. No neonatal complications occurred. In 9 cases with a high LUS score, a chest CT was performed after delivery. CT confirmed the results of LUS, showing a significant positive correlation between the two techniques. LUS seems a safe alternative to CT in pregnancy and may help in the management of these patients.
严重急性呼吸综合征冠状病毒 2（SARS-CoV-2）感染是一个主要的健康威胁。妊娠可导致对病毒感染的易感性增加。虽然胸部计算机断层扫描（CT）是 SARS-CoV-2 肺炎诊断的金标准，但在妊娠期间肺部超声（LUS）可能是一种有效的替代方法。本前瞻性研究的目的是评估 LUS 在诊断肺部受累和帮助医生管理受影响患者方面的作用。30 名 SARS-CoV-2 感染的孕妇被收入我院产科病房。平均年龄为 31.2 岁，平均孕龄为 33.8 周。住院期间进行了多次 LUS 检查。根据 LUS 评分和临床情况决定患者的治疗方案。分娩时的平均孕龄为 37.7 周，由于临床情况恶化，20%的患者引产早产。未发生新生儿并发症。在 9 例 LUS 评分较高的患者中，在分娩后进行了胸部 CT 检查。CT 证实了 LUS 的结果，两种技术之间存在显著的正相关。LUS 在妊娠期间似乎是 CT 的安全替代方法，并可能有助于管理这些患者。
