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COVID-19 感染合并持续 HELLP 综合征患者的 SARS-CoV-2 胎盘炎导致胎儿宫内死亡。

SARS-CoV-2 placentitis as a cause of intrauterine death of a fetus in a patient with covid-19 infection and ongoing HELLP syndrome.

出版信息

Ceska Gynekol. 2022;87(4):269-273. doi: 10.48095/cccg2022269.

Abstract

OBJECTIVE

We hereby present a case of intrauterine death of a fetus due to placental damage by placentitis caused by SARS-CoV-2 infection in ongoing covid-19 disease and HELLP syndrome.

CASE REPORT

In this case report, we describe a patient who experienced intrauterine death of a fetus and the development of HELLP syndrome in ongoing covid-19 infection. Placentitis caused by SARS-CoV-2 infection was identified as the cause of intrauterine death of a fetus. After the end of pregnancy, a patient experienced an improvement in the symptoms of covid-19 and also a gradual improvement and adjustment of laboratory and coagulation parameters.

CONCLUSION

SARS-CoV-2 infection in pregnancy can be complicated by the development of SARS-CoV-2 placenitis, which can cause intrauterine death of a fetus. Covid-19 infection can even have similar signs to HELLP syndrome and therefore careful monitoring of pregnant women with covid-19 is recommended.

摘要

目的

我们在此报告一例因 COVID-19 疾病持续进展合并 HELLP 综合征,由 SARS-CoV-2 感染引起的胎盘炎导致胎儿宫内死亡的病例。

病例报告

在本病例报告中,我们描述了一位在 COVID-19 持续感染期间经历胎儿宫内死亡和 HELLP 综合征发展的患者。SARS-CoV-2 感染引起的胎盘炎被确定为胎儿宫内死亡的原因。妊娠结束后,患者 COVID-19 的症状有所改善,实验室和凝血参数也逐渐改善和调整。

结论

妊娠期间的 SARS-CoV-2 感染可并发 SARS-CoV-2 胎盘炎,导致胎儿宫内死亡。COVID-19 感染甚至可能具有与 HELLP 综合征相似的表现,因此建议对 COVID-19 孕妇进行密切监测。

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