河南省信阳市首例2019年新型冠状病毒母婴感染病例报告/中华传染病杂志

Mengdie Li, Ming Xu, Weiqiang Zhan, Tao Han, Guosheng Zhang, Yibin Lu
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引用次数: 18

摘要

目的报告信阳市首例新生儿肺炎合并新型冠状病毒感染病例及晚期妊娠妇女新型冠状病毒肺炎(危重型)成功诊治经验。方法回顾性分析1例单胎妊娠38周合并新型冠状病毒肺炎(危重型)和1例新生儿肺炎合并2019-nCoV感染的成功诊治情况。结果1例单男妊娠38周在手术室三级保护下剖宫产成功。分娩妇女在分娩的第2天被诊断出感染了2019-nCoV。很快出现呼吸困难和严重低氧血症,给予有创机械通气。经过积极的抢救和治疗,该产妇已成功脱机,病情稳定。新生儿出生3天后送咽拭子标本检查,荧光逆转录聚合酶链反应新型冠状病毒核酸阳性。结论新型冠状病毒可能存在母婴垂直传播。关键词:妊娠;2019新型冠状病毒;肺炎;垂直传播
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Report of the first cases of mother and infant infections with 2019 novel coronavirus in Xinyang City Henan Province/ 中华传染病杂志
Objective To report the first case of a neonatal pneumonia with 2019-nCoV infection, and the experience of successfully diagnosis and treatment in late pregnancy woman with novel coronavirus pneumonia (critical type) in Xinyang city. Methods The successfully diagnosis and treatment of a woman with 38 weeks singleton pregnancy complicated with novel coronavirus pneumonia (critical type), and a case of neonatal pneumonia with 2019-nCoV infection were retrospectively analyzed. Results A single male was successfully delivered at 38-week gestation of his mother by cesarean section under third level protection in operation room. The delivery woman was diagnosed with 2019-nCoV infection at day 2 of delivery. Dyspnea and severe hypoxemia soon developed, and invasive mechanical ventilation was given. After active rescue and treatment, the delivery woman had been taken off line successfully and the condition was stable. Pharyngeal swab specimen of the neonate was sent for examination 3 days after birth, and was positive for novel coronavirus nucleic acid by fluorescence reverse transcript polymerase chain reaction. Conclusion 2019-nCoV may be transmitted vertically from mother to child. Key words: Pregnancy; 2019 novel coronavirus; Pneumonia; Vertical transmission
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