Division of Critical Care Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, 111 East 210th Street, Bronx, NY 10467, USA.
Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, Boston MA 02215, USA.
Crit Care Clin. 2022 Jul;38(3):521-534. doi: 10.1016/j.ccc.2022.01.003. Epub 2022 Jan 10.
Pregnant women are at increased risk for severe coronavirus disease 2019 (COVID-19) and COVID-19-related complications. Their increased risk in conjuncture with the normal physiologic changes in pregnancy poses unique challenges for the management of the critically ill pregnant patient. This article will review the initial management of pregnant patients who develop acute hypoxic respiratory failure and subsequent treatment of those that deteriorate to acute respiratory distress syndrome and require advanced therapies. Moreover, fetal monitoring and timing of delivery will be reviewed.
孕妇感染 2019 年冠状病毒病（COVID-19）和与 COVID-19 相关的并发症的风险增加。她们的风险增加与妊娠期间正常的生理变化相结合，给重症孕妇患者的管理带来了独特的挑战。本文将回顾急性低氧性呼吸衰竭孕妇的初始管理，以及随后对病情恶化至急性呼吸窘迫综合征并需要高级治疗的患者的治疗。此外，还将对胎儿监测和分娩时机进行回顾。
