妊娠合并新型冠状病毒肺炎临床特征分析

R563.1; 目的:探讨妊娠合并新型冠状病毒肺炎(COVID-19)患者的流行病学特点、临床特征及诊断.方法:回顾性分析2020年1月15日至2020年2月15日在华中科技大学同济医学院附属同济医院收治的22例妊娠合并COVID-19患者的临床资料,分析其流行病学特点、临床及放射学特征和实验室数据.结果:22例患者临床表现中有发热10例(45.45％)、咳嗽5例(22.73％)、呼吸急促1例(4.55％)和腹泻1例(4.55％).21例(95.45％)为普通型,1例(4.55％)为重型.实验室检查中,淋巴细胞降低14例(63.64％),D-二聚体增高22例(100％).胸部CT检查均示典型的...

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Published in中国临床医学 Vol. 27; no. 3; pp. 361 - 365
Main Authors 余楠, 李伟, 方紫璇, 林星光, 王少帅, 刘燕燕, 刘海意, 邓东锐, 陈素华, 曾万江, 冯玲, 乌剑利
Format Journal Article
LanguageChinese
Published 华中科技大学同济医学院附属同济医院妇产科,武汉,430000 01.06.2020
Subjects
新型冠状病毒肺炎
临床特征
妊娠
影像学诊断
Online AccessGet full text
ISSN1008-6358
DOI10.12025/j.issn.1008-6358.2020.20200601

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Abstract R563.1; 目的:探讨妊娠合并新型冠状病毒肺炎(COVID-19)患者的流行病学特点、临床特征及诊断.方法:回顾性分析2020年1月15日至2020年2月15日在华中科技大学同济医学院附属同济医院收治的22例妊娠合并COVID-19患者的临床资料,分析其流行病学特点、临床及放射学特征和实验室数据.结果:22例患者临床表现中有发热10例(45.45％)、咳嗽5例(22.73％)、呼吸急促1例(4.55％)和腹泻1例(4.55％).21例(95.45％)为普通型,1例(4.55％)为重型.实验室检查中,淋巴细胞降低14例(63.64％),D-二聚体增高22例(100％).胸部CT检查均示典型的COVID-19表现,病原学核酸检测阳性率40.91％(9/22).结论:孕妇患COVID-19的临床特征和实验室检查与非妊娠成人患者相似,相对于病原学检查,胸部CT检查快速安全且敏感性高,更适合COVID-19流行地区产科急诊住院患者的初筛,同时能监测病情进展,有助于COVID-19孕妇的筛查、诊断及监测.
AbstractList R563.1; 目的:探讨妊娠合并新型冠状病毒肺炎(COVID-19)患者的流行病学特点、临床特征及诊断.方法:回顾性分析2020年1月15日至2020年2月15日在华中科技大学同济医学院附属同济医院收治的22例妊娠合并COVID-19患者的临床资料,分析其流行病学特点、临床及放射学特征和实验室数据.结果:22例患者临床表现中有发热10例(45.45％)、咳嗽5例(22.73％)、呼吸急促1例(4.55％)和腹泻1例(4.55％).21例(95.45％)为普通型,1例(4.55％)为重型.实验室检查中,淋巴细胞降低14例(63.64％),D-二聚体增高22例(100％).胸部CT检查均示典型的COVID-19表现,病原学核酸检测阳性率40.91％(9/22).结论:孕妇患COVID-19的临床特征和实验室检查与非妊娠成人患者相似,相对于病原学检查,胸部CT检查快速安全且敏感性高,更适合COVID-19流行地区产科急诊住院患者的初筛,同时能监测病情进展,有助于COVID-19孕妇的筛查、诊断及监测.
Author 林星光
刘海意
王少帅
乌剑利
陈素华
方紫璇
冯玲
刘燕燕
曾万江
余楠
李伟
邓东锐
AuthorAffiliation 华中科技大学同济医学院附属同济医院妇产科,武汉,430000
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Author_FL WANG Shao-shuai
ZENG Wan-jiang
FENG Ling
LIN Xing-guang
LIU Hai-yi
DENG Dong-rui
FANG Zi-xuan
YU Nan
CHEN Su-hua
WU Jian-li
LI Wei
LIU Yan-yan
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临床特征
妊娠
影像学诊断
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