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妊娠期水痘肺炎

Varicella pneumonia during pregnancy.

作者信息

Duong C M, Munns R E

出版信息

J Fam Pract. 1979 Feb;8(2):277-80.

PMID:429971
Abstract

Varicella pneumonia during pregnancy may be relatively mild or rapidly fatal. Diagnosis is based on the usual criteria for varicella in association with signs and symptoms of respiratory distress: dyspnea, tachypnea, cough, chest pain, and hemoptysis, with characteristic x-ray findings. Treatment should be directed toward maintaining blood oxygen saturation at as near normal as possible (monitored by serial blood gas determinations). The occurrence of congenital varicella is unpredictable, but an infant born within four days of the mother's development of the varicella skin rash is at high risk, with the outcome being fatal in five percent of cases.

摘要

妊娠期水痘肺炎可能相对较轻,也可能迅速致命。诊断依据是水痘的常见标准,并结合呼吸窘迫的体征和症状:呼吸困难、呼吸急促、咳嗽、胸痛和咯血,以及特征性的X线表现。治疗应旨在将血氧饱和度维持在尽可能接近正常的水平(通过连续血气测定进行监测)。先天性水痘的发生不可预测,但在母亲出现水痘皮疹后四天内出生的婴儿风险很高,5%的病例预后为致命。

相似文献

1
Varicella pneumonia during pregnancy.妊娠期水痘肺炎
J Fam Pract. 1979 Feb;8(2):277-80.
2
[Varicella during pregnancy. 2. Diagnosis, prevention and therapy].[孕期水痘。2. 诊断、预防与治疗]
Dtsch Med Wochenschr. 2004 Sep 24;129(39):2045-7. doi: 10.1055/s-2004-831844.
3
[Varicella pneumonia in the adult. A review of 25 cases].[成人水痘肺炎。25例病例回顾]
Rev Clin Esp. 1997 Oct;197(10):690-2.
4
[Varicella pneumonia: a serious complication of varicella in adults].水痘肺炎:成人水痘的一种严重并发症
Rev Pneumol Clin. 2009 Feb;65(1):9-12. doi: 10.1016/j.pneumo.2008.08.002. Epub 2008 Dec 13.
5
[Primary varicella pneumonia with respiratory failure].[原发性水痘肺炎伴呼吸衰竭]
Nihon Kyobu Shikkan Gakkai Zasshi. 1995 Dec;33(12):1436-40.
6
Varicella pneumonia at parturition; a non-fatal case report.分娩时的水痘肺炎;一例非致命病例报告。
J Fam Pract. 1976 Apr;3(2):153-4.
7
Use of acyclovir for varicella pneumonia during pregnancy.阿昔洛韦在妊娠期水痘肺炎中的应用。
Obstet Gynecol. 1991 Dec;78(6):1112-6.
8
[Chickenpox and pregnancy. Perinatal aspects and prevention].[水痘与妊娠。围产期情况及预防]
Arch Fr Pediatr. 1987 May;44(5):339-42.
9
[Varicella pneumonia in adults infected by HIV-1. Presentation of 2 cases].[1型人类免疫缺陷病毒感染成人的水痘肺炎。2例报告]
Enferm Infecc Microbiol Clin. 1994 Jan;12(1):26-30.
10
[Risk of chickenpox during pregnancy and the neonatal period].[孕期及新生儿期患水痘的风险]
Dtsch Med Wochenschr. 1984 Aug 3;109(31-32):1192-6.

引用本文的文献

1
Obstetric infections.产科感染
West J Med. 1981 May;134(5):394-404.
2
Chickenpox pneumonia: an association with pregnancy.水痘肺炎:与妊娠的关联。
Thorax. 1989 Oct;44(10):812-5. doi: 10.1136/thx.44.10.812.