Analysis of perinatal diagnosis and treatment of Coronavirus Disease 2019 in pregnant women
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摘要:
探讨1例新型冠状病毒肺炎(简称新冠肺炎)康复期的孕产妇围产期的诊疗方法。记录分并析围产期孕产妇在分娩前中后不同阶段的症状体征、化验检查以及胎儿状况。根据临床亲身诊疗经验，了解新冠肺炎妊娠妇女的影响及危险因素，逐步完善诊治流程。产前应严密隔离，监测体温、血氧等常规指标，取左侧卧位，加强胎心监测和产妇营养支持; 产时医护人员全程跟进，指导产妇合理用力，促进产程进展，分娩过程中给予产妇持续的心电监护及胎心监护; 产后将新生儿隔离观察，以减少新生儿感染风险，并对其进行恰当母乳喂养。此外，密切观察产妇的生命体征，警惕发生产后出血，关注产妇心理状况。
Abstract:To investigate the perinatal diagnosis and treatment of one pregnant woman in the convalescing period of Coronavirus Disease 2019 (COVID-19). The symptoms, signs, laboratory tests and fetal status of perinatal women were recorded and analyzed before delivery, during delivery and after delivery. The influence and risk factors of COVID-19 pregnant women were explored and the diagnosis and treatment procedures based on personal clinical experience were gradually improved. Prenatal isolation should be strictly performed, body temperature, blood oxygen and other routine indicators should be monitored, left decubitus position should be taken, fetal heart monitoring and maternal nutrition support should be strengthened. In the process of delivery, continuous electrocardiograph monitoring and fetal heart monitoring were given to the parturient; after delivery, the newborn was isolated for observation to reduce the risk of infection and to breastfeed the newborn appropriately. In addition, the vital signs of the mothers were closely monitored to prevent postpartum bleeding, and the psychological state of the mothers was paid attention to.
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[1] 中华人民共和国国家卫生健康委员会. 新型冠状病毒感染的肺炎诊疗方案(试行第七版)[EB/OL]. (2020-03-04)[2020-03-15]. https://wenku.baidu.com/view/60b074a66629647d27284b73f242336c1eb930b6.html_wkts_=1670307931935&bdQuery [2] 中华人民共和国国家卫生健康委员会. 中华人民共和国国家卫生健康委员会公告(2020年第1号)[EB/OL]. (2020-01-20)[2020-02-07]. http://www.gov.cn/zhengce/zhengceku/2020-01/21/content_5471164.htm [3] CHEN N, ZHOU M, DONG X, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study[J]. Lancet, 2020, 395(10223): 507-513. doi: 10.1016/S0140-6736(20)30211-7
[4] 王新燕, 吴杰, 鲁新华, 等. 河南省新型冠状病毒(2019-nCoV)感染孕产妇管理策略建议[J]. 郑州大学学报: 医学版, 2020, 55(2): 200-202. https://www.cnki.com.cn/Article/CJFDTOTAL-HNYK202002012.htm [5] 中华人民共和国国家卫生健康委员会妇幼健康司. 关于加强新型冠状病毒肺炎疫情防控期间孕产妇疾病救治与安全助产工作的通知[A]. 肺炎机制发 [6] 中华人民共和国国家卫生健康委员会. 医疗机构内新型冠状病毒感染预防与控制技术指南(第一版)[EB/OL]. (2020-01-22)[2020-03-15]. https://www.cn-healthcare.com/article/20210913/content-560103.html [7] 中国医师协会妇产科医师分会母胎医师专业委员会, 中华医学会妇产科分会产科学组, 中华医学会围产医学分会, 等. 妊娠期与产褥期新型冠状病毒感染专家建议[J]. 中华围产医学杂志, 2020, 23(2): 73-79. doi: 10.3760/cma.j.issn.1007-9408.2020.02.001 [8] VINCENZO B. Coronavirus disease2019(COVID-19). Pregnancy issues[EB/OL]. (2020-04-21)[2020-04-23]. https://pubmed.ncbi.nlm.nih.gov/32105680/
[9] ORTIZ EI, HERRERA E, DELATORREA. Coronavirus (COVID-19) infection in pregnancy[J]. Colomb Med: Cali, 2020, 51(2): e4271.
[10] 辽宁省母胎医学中心, 辽宁省危重孕产妇抢救中心, 辽宁省产科专业质控中心. 辽宁省新型冠状病毒感染流行期间孕产妇管理指导意见[J]. 中国实用妇科与产科杂志, 2020, 36(2): 127-130. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGSF202002010.htm [11] The American college of obstetricians and gynecologists. novel coronavirus 2019(COVID-19)[EB/OL]. (2020-04-21)[2020-04-23]. https://www.docin.com/p-1311418170.html
[12] The French College of Gynaecologists and Obstetricians. SARS-CoV-2 infection during pregnancy. Information and proposal of management care[J]. Gynecol Obstet Fertil Senol, 2020, 48(5): 436-443.
[13] 周天萍, 徐燕, 黄莺, 等. 妊娠期合并新型冠状病毒肺炎1例的护理[J]. 护理与康复, 2020, 19(12): 95-97. doi: 10.3969/j.issn.1671-9875.2020.12.028 [14] QIAOJ. What are the risks of COVID-19 infection in pregnant women[J]. Lancet, 2020, 395(10226): 760-762. doi: 10.1016/S0140-6736(20)30365-2
[15] POONLC, YANGH, LEEJC S, et al. ISUOG Interim Guidance on 2019 novel coronavirus infection during pregnancy and puerperium: information for healthcare professionals[J]. Ultrasound Obstet Gynecol, 2020, 55(5): 700-708. doi: 10.1002/uog.22013
[17] Centers for Disease Control and Prevention. Considera-tions for inpatient obstetric healthcare settings[EB/OL]. (2020-04-04)[2020-04-23]. https://www.cdc.gov/coronavirus/2019-ncov/hcp/inpatient-obstetric-healthcare-guidance.html
[18] The Oueesland Health. COVID-19 and breastfeeding[EB/OL]. (2020-03-22)[2020-04-23]. https://www.nature.com/articles/s41372-020-0738-6
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