Lung ultrasound and computed tomographic findings in pregnant woman with COVID-19

Lung ultrasound and computed tomographic findings in pregnant woman with COVID-19
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DOI:
10.1002/uog.22034
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发表时间:
2020-05-05
影响因子:
7.1
通讯作者:
Koc, A.
Koc, A.
中科院分区:
医学1区
文献类型:
--
作者:
Kalafat, E.;Yaprak, E.;Koc, A.

文献摘要

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成像方式在COVID-19疑似患者的管理中发挥着至关重要的作用。在逆转录聚合酶链反应(RT-PCR)检测结果呈阳性之前,60-93%的患者胸部计算机断层扫描(CT)呈阳性,与COVID-19相符。我们报告了一例肺超声阳性结果与COVID-19一致的病例,该患者最初的RT-PCR结果为阴性。肺超声成像结果在RT-PCR阴性和随后的阳性之间存在,并与CT结果相关。即时肺部超声检查易于进行,因此可以在疑似COVID-19妇女的分类中发挥重要作用。新生儿拭子、脐带血和胎盘拭子RT-PCR检测对SARS-CoV-2呈阴性,这一发现与已发表的文献一致,表明该病毒在孕妇中没有垂直传播。版权所有2020 ISUOG由John Wiley & Sons Ltd出版。
Imaging modalities play a crucial role in the management of suspected COVID-19 patients. Before reverse transcription polymerase chain reaction (RT-PCR) test results are positive, 60-93% of patients have positive chest computed tomographic (CT) findings consistent with COVID-19. We report a case of positive lung ultrasound findings consistent with COVID-19 in a woman with an initially negative RT-PCR result. The lung ultrasound-imaging findings were present between the negative and subsequent positive RT-PCR tests and correlated with CT findings. The point-of-care lung-ultrasound examination was easy to perform and, as such, could play an important role in the triage of women with suspected COVID-19. The neonatal swabs, cord blood and placental swab RT-PCR tests were negative for SARS-CoV-2, a finding consistent with the published literature suggesting no vertical transmission of this virus in pregnant women. Copyright (c) 2020 ISUOG. Published by John Wiley & Sons Ltd.