COVID-19引起的呼吸失代偿需要产后体外膜氧合

IF 0.1 Q4 OBSTETRICS & GYNECOLOGY Case Reports in Perinatal Medicine Pub Date : 2021-01-01 DOI:10.1515/crpm-2020-0062

S. Willson, Richard L Dubois, Briana Short, C. Agerstrand, D. Skupski, A. Dayal

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摘要

摘要目的2019冠状病毒病(COVID-19)大流行自2019年12月出现以来，传播迅速，发病率和死亡率高。本报告包括一个深入讨论的独特挑战，产科人口提供时，考虑最佳的管理策略。我们描述了我们对一位临床高度怀疑COVID-19的早产患者的治疗方法，该患者的病情在产后转为危重。结论妊娠期生理的差异，以及降低母胎风险的目标，在考虑重症监护管理、分娩时机和分娩方法时提出了挑战。

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Respiratory decompensation due to COVID-19 requiring postpartum extracorporeal membrane oxygenation

Abstract Objectives The Coronavirus disease 2019 (COVID-19) pandemic has rapidly spread since its emergence in December 2019, and has been associated with severe morbidity and mortality. This report includes an in-depth discussion on the unique challenges that the obstetrical population provides when considering optimal management strategy. Case presentation We describe our approach to a preterm patient with high clinical suspicion for COVID-19 whose condition turned critical in the postpartum state. Conclusions Differences in physiology during pregnancy, and goals for reducing both maternal and fetal risks, provide challenges when considering intensive care management, delivery timing, and method of delivery.

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来源期刊

Case Reports in Perinatal Medicine OBSTETRICS & GYNECOLOGY-

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期刊介绍： Case Reports in Perinatal Medicine is a double-blind peer-reviewed journal. The objective of the new journal is very similar to that of JPM. In addition to evidence-based studies, practitioners in clinical practice esteem especially exemplary reports of cases that reveal specific manifestations of diseases, its progress or its treatment. We consider case reports and series to be brief reports describing an isolated clinical case or a small number of cases. They may describe new or uncommon diagnoses, unusual outcomes or prognosis, new or infrequently used therapies and side effects of therapy not usually discovered in clinical trials. They represent the basic concept of experiences for studies on representative groups for further evidence-based research. The potential roles of case reports and case series are: Recognition and description of new diseases Detection of drug side effects (adverse or beneficial) Study of mechanisms of disease Medical education and audit Recognition of rare manifestations of disease.