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妊娠合并病毒性肺部感染——包括 COVID-19、SARS、甲型流感和水痘。

Viral pulmonary infection in pregnancy - Including COVID-19, SARS, influenza A, and varicella.

机构信息

Royal Surrey County Hospital, Guildford, United Kingdom.

Fetal Medicine Unit, St George's Hospital, London, United Kingdom.

出版信息

Best Pract Res Clin Obstet Gynaecol. 2022 Dec;85(Pt A):17-25. doi: 10.1016/j.bpobgyn.2022.06.006. Epub 2022 Jul 9.

Abstract

The COVID-19 pandemic has been at the forefront of medicine over the last few years. Pregnant women are often exposed to infectious agents that can be harmful not only to the mother but also to the foetus. Moreover, changes during pregnancy means that pregnant women have increased vulnerability to viral infections, especially pulmonary infections. Epidemiological studies have shown a link between maternal viral infections and miscarriage, preterm birth as well as congenital defects. With potential poor outcomes for both women and their newborns, having a good understanding of the presentation and management of these viral pulmonary infections is essential. The increased risk of adverse outcomes has been highlighted during the COVID-19, SARS and H1N1 influenza pandemics.

摘要

在过去的几年里,COVID-19 大流行一直是医学领域的焦点。孕妇经常接触到的感染因子不仅对母亲有害,而且对胎儿也有害。此外,怀孕期的变化意味着孕妇更容易受到病毒感染,尤其是肺部感染。流行病学研究表明,母体病毒感染与流产、早产以及先天性缺陷有关。由于母婴都可能出现不良后果,因此,充分了解这些病毒性肺部感染的表现和处理方法至关重要。在 COVID-19、SARS 和 H1N1 流感大流行期间,不良后果的风险增加已得到强调。

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