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子痫前期患者剖宫产术后发生的肺炎恶化:一例病例报告

Pneumonia Deterioration Occurring After C-section in a Preeclamptic Patient: A Case Report.

作者信息

Hs Putra Dhanista, Winston Kevin, Renaldy Renaldy, Irwandi Ben B, Sakti Ali, Martua Edwin H, Wardhana Wisnu S, Ilhami Lazuardi G, Rinaldi Ikhwan

机构信息

Hospital Medicine, Bhakti Medicare Central Hospital, Sukabumi, IDN.

Hospital Medicine, Bhakti Medicare Hospital, Sukabumi, IDN.

出版信息

Cureus. 2023 Mar 14;15(3):e36147. doi: 10.7759/cureus.36147. eCollection 2023 Mar.

DOI:10.7759/cureus.36147
PMID:37065353
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10101510/
Abstract

Pneumonia is a type of lung infection that can be caused by bacteria, viruses, or fungi. It is a serious condition that can affect people of all ages, but it is more dangerous for certain populations, such as the elderly, young children, and people with weakened immune systems. Pneumonia can cause higher risk in patients undergoing surgery, including C-sections. In this case report, we present a pregnant woman who was scheduled for a C-section due to preeclampsia and was initially suspected of concomitant pneumonia. The patient successfully underwent the C-section, but unfortunately experienced a deterioration in her pneumonia after the surgery. She was later admitted to ICU and placed on mechanical ventilation due to the deterioration. Despite the acknowledged risks, including the possibility of death, the patient's family chose to bring the patient home due to their belief that there had been no improvement in the patient's condition and a feeling of resignation. In conclusion, pregnant patients who have pneumonia may require an emergency C-section due to several conditions such as preeclampsia, and the C-section can be conducted successfully. However, it is important for physicians to be aware of the potential for the worsening of pneumonia postoperatively. Post-operative pneumonia is a serious condition that can have a significant impact on the health of patients who have undergone a C-section.

摘要

肺炎是一种肺部感染,可由细菌、病毒或真菌引起。它是一种严重的病症,可影响所有年龄段的人,但对某些人群,如老年人、幼儿和免疫系统较弱的人来说,危险性更高。肺炎会给接受手术(包括剖宫产)的患者带来更高风险。在本病例报告中,我们介绍了一名因先兆子痫计划进行剖宫产的孕妇,最初怀疑其同时患有肺炎。患者成功接受了剖宫产,但不幸的是术后肺炎病情恶化。后来她因病情恶化被送入重症监护室并接受机械通气。尽管存在公认的风险,包括死亡可能性,但患者家属因认为患者病情没有改善且感到无奈,选择将患者带回家。总之,患有肺炎的孕妇可能因先兆子痫等多种情况需要紧急剖宫产,且剖宫产可以成功进行。然而,医生必须意识到术后肺炎病情恶化的可能性。术后肺炎是一种严重病症,会对接受剖宫产的患者健康产生重大影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a275/10101510/7940e102a9ac/cureus-0015-00000036147-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a275/10101510/983a95833cca/cureus-0015-00000036147-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a275/10101510/7940e102a9ac/cureus-0015-00000036147-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a275/10101510/983a95833cca/cureus-0015-00000036147-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a275/10101510/7940e102a9ac/cureus-0015-00000036147-i02.jpg

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Indications and determinants of caesarean section delivery: Evidence from a population-based study in Matlab, Bangladesh.剖宫产分娩的指征与决定因素:来自孟加拉国马特莱基于人群研究的证据
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