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新型冠状病毒肺炎孕妇的临床评估:来自埃及的一项真实病例研究。

Clinical evaluation of pregnant women with SARS-COV2 pneumonia: a real-life study from Egypt.

作者信息

Zaky Samy, Hosny Hossam, Elassal Gehan, Asem Noha, Baki Amin Abdel, Kamal Ehab, Abdelbary Akram, Said Ahmad, Ibrahim Hamdy, Taema Khaled, Amin Wagdy, Abd-Elsalam Sherief, Soliman Shaimaa, Abdelmenam Hend Salah, Mohamed Ahmed S, Elnady Mohamed, Hassany Mohamed, Zaid Hala

机构信息

Hepatogastroenterology and Infectious Diseases Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.

Chest Diseases Department, Head of Pulmonary Hypertension Unit, Faculty of Medicine, Cairo University, Cairo, Egypt.

出版信息

J Egypt Public Health Assoc. 2021 Nov 4;96(1):29. doi: 10.1186/s42506-021-00092-z.

Abstract

BACKGROUND

Knowledge about the outcome of COVID-19 on pregnant women is so important. The published literature on the outcomes of pregnant women with COVID-19 is confusing. The aim of this study was to report our clinical experience about the effect of COVID-19 on pregnant women and to determine whether it was associated with increased mortality or an increase in the need for mechanical ventilation in this special category of patients.

METHODS

This was a cohort study from some isolation hospitals of the Ministry of Health and Population, in eleven governorates, Egypt. The clinical data from the first 64 pregnant women with COVID-19 whose care was managed at some of the Egyptian hospitals from 14 March to 14 June 2020 as well as 114 non-pregnant women with COVID-19 was reviewed.

RESULTS

The two groups did not show any significant difference regarding the main outcomes of the disease. Two cases in each group needed mechanical ventilation (p 0.617). Three cases (4.7%) died among the pregnant women and two (1.8%) died among the non-pregnant women (p 0.352).

CONCLUSIONS

The main clinical outcomes of COVID-19 were not different between pregnant and non-pregnant women with COVID-19. Based on our findings, pregnancy did not exacerbate the course or mortality of COVID-19 pneumonia.

摘要

背景

了解新型冠状病毒肺炎(COVID-19)对孕妇的影响非常重要。已发表的关于感染COVID-19孕妇结局的文献令人困惑。本研究的目的是报告我们关于COVID-19对孕妇影响的临床经验,并确定在这类特殊患者中,它是否与死亡率增加或机械通气需求增加有关。

方法

这是一项来自埃及11个省卫生和人口部部分隔离医院的队列研究。回顾了2020年3月14日至6月14日在埃及部分医院接受治疗的首批64例感染COVID-19的孕妇以及114例感染COVID-19的非孕妇的临床资料。

结果

两组在该疾病的主要结局方面未显示出任何显著差异。每组各有2例需要机械通气(p = 0.617)。孕妇中有3例(4.7%)死亡,非孕妇中有2例(1.8%)死亡(p = 0.352)。

结论

感染COVID-19的孕妇和非孕妇的COVID-19主要临床结局没有差异。根据我们的研究结果,妊娠并未加重COVID-19肺炎的病程或死亡率。

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1
Preeclampsia and COVID-19: results from the INTERCOVID prospective longitudinal study.子痫前期与 COVID-19:INTERCOVID 前瞻性纵向研究结果。
Am J Obstet Gynecol. 2021 Sep;225(3):289.e1-289.e17. doi: 10.1016/j.ajog.2021.05.014. Epub 2021 Jun 26.

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