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应用脉冲式皮质类固醇疗法和晚期剖宫产治疗的孕妇重症 COVID-19 肺炎:一例报告

Severe COVID-19 pneumonia in pregnant woman treated with pulse corticosteroids therapy and third-trimester caesarean section: A case report.

作者信息

Bui Nghia Thinh, Huynh Minh Nhat, Tran Hung, Le Dinh Kha, Pham Tan Thanh, Pham Thanh Tung, Nguyen Tien Nhan, Do-Tran Nguyen-Huy, Ngo Hoang-Anh, Do Thuy-Anh

机构信息

COVID-19 Intensive Care Unit 2 Thu Duc City Hospital Ho Chi Minh City Vietnam.

School of Medicine Vietnam National University Ho Chi Minh City Binh Duong Vietnam.

出版信息

Respirol Case Rep. 2023 Apr 5;11(5):e01139. doi: 10.1002/rcr2.1139. eCollection 2023 May.

Abstract

A 44-year-old woman at 30 weeks of pregnancy was admitted to the Intensive Care Unit with a diagnosis of severe COVID-19 pneumonia. Her condition worsened quickly, defined by prolonged hypoxia even with intensive therapy and oxygen supplementation. This led to the decision to perform a caesarean delivery and continue pulse corticosteroids therapy after delivery. Soon after she recovered from COVID-19 pneumonia, her life was threatened again by septic shock from hospital-acquired pneumonia. After nearly 1 month of hospitalization, she was discharged and fully recovered on the re-examination day 10 months later.

摘要

一名怀孕30周的44岁女性因诊断为重症新型冠状病毒肺炎被收入重症监护病房。她的病情迅速恶化,即使经过强化治疗和吸氧,仍存在长时间缺氧。这导致决定进行剖宫产,并在产后继续使用脉冲式皮质类固醇治疗。她从新型冠状病毒肺炎康复后不久,又因医院获得性肺炎导致的感染性休克,生命再次受到威胁。住院近1个月后,她出院了,10个月后的复诊日完全康复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e66/10073926/376706639ec5/RCR2-11-e01139-g001.jpg

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