COVID-19 pneumonia in an Iraqi pregnant woman with preterm delivery.
COVID-19 pneumonia in an Iraqi pregnant woman with preterm delivery.
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DOI：
10.4103/2305-0500.282984
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发表时间：
2020-01-01
影响因子：
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通讯作者：
Ali, Zaid H
中科院分区：
文献类型：
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作者：
Al-Kuraishy, Hayder M;Al-Maiahy, Thabat J;Ali, Zaid H
理由：2019 年冠状病毒病 (COVID-19) 是一种由严重急性呼吸综合征冠状病毒 2 型 (SARS-CoV2) 引起的高度传染性疾病。妊娠期间 COVID-19 的垂直传播和临床表现仍不清楚。此外，妊娠期 COVID-19 对胎儿的潜在危害以及新生儿的产后风险仍在调查中。患者关注：一名妊娠 28 周的年轻亚洲孕妇出现发烧、呼吸困难、头痛、关节痛、胎动减少约一周。诊断：患者被诊断患有 COVID-19 肺炎。干预措施：将患者转至隔离部门，给予口服氯喹、静脉输液等支持治疗。结果：治疗一周后，患者病情好转。入院 17 天后、妊娠 30 周时，她开始阴道早产，产下一名可存活的健康新生儿，两次 COVID-19 检测结果均为阴性。经验教训：怀孕期间的 COVID-19 肺炎与非怀孕妇女的临床表现相似。怀孕期间的 COVID-19 肺炎会增加早产的风险，但没有垂直传播的证据。
Rationale: Coronavirus disease 2019 (COVID-19) is a highly infectious disease due to the severe acute respiratory syndrome coronavirus type 2 (SARS-CoV2). Vertical transmission and clinical presentation of COVID-19 in pregnancy is still obscure. Additionally, the potential hazard of COVID-19 in pregnancy on the fetus and post-delivery risk for the neonate remain under investigations. Patient concern: A young-aged Asian pregnant woman with 28 weeks of gestation presented with fever, dyspnoea, headache, and joint pain with decreased fetal movement for about one week. Diagnosis: The patient was diagnosed with COVID-19 pneumonia. Interventions: The patient was referred to the quarantine sector and was treated with chloroquine orally, intravenous fluid and other supportive treatment. Outcomes: After one week of treatment, the patient improved. Seventeen days after admission to hospital and at 30 weeks of gestation, she started vaginal preterm delivery of a viable healthy neonate with negative COVID-19 test for two occasions. Lessons: COVID-19 pneumonia during pregnancy presents with similar clinical presentation of non-pregnant women. COVID-19 pneumonia during pregnancy increases the risk of preterm labour without evidence of vertical transmission.