一个复杂的怀孕:阴湿症还是COVID-19?
Ayse Ozcan1, Yusuf Harun Iren1, Cigdem Kizilay1
1University of Health Sciences, Ankara Training and Research Hospital, Department of Anesthesiology and Reanimation, Ankara, Turkey.
患有COVID-19的孕妇可能会出现严重的并发症,包括心肌病. 早期检测SARS-CoV-2感染对于管理怀孕中的关键情况至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 传染性疾病 传染性疾病
- 心脏病学 心脏病学
背景情况:
- SARS-CoV-2 感染 (COVID-19) 可以导致孕妇的严重疾病,影响多个器官系统.
- 怀孕期间的心血管并发症包括高血压,心肌炎,肺栓塞和类似预先症的综合征.
研究的目的:
- 报告一个怀孕妇女患有COVID-19的病例,呈现出黄昏症和随后的心肌病变.
- 强调在复杂怀孕中考虑COVID-19及其潜在心血管表现的重要性.
主要方法:
- 一个怀孕的患者的病例报告,她被录取为患有黄昏症.
- 诊断工作包括胸部CT,鼻抽样COVID-19,心声和心脏生物标志物.
- 管理包括紧急剖腹产和重症监护室的入院.
主要成果:
- 这位患者出现了湿,COVID-19肺炎,低氧化和高血压.
- 术后,她出现了低血压,并被诊断为心肌病 (LVEF 35-40%) 与心脏生物标志物升高.
- COVID-19通过鼻口腔抽样得到证实.
结论:
- 孕妇患有严重并发症的孕妇应考虑使用COVID-19.
- 心肌病是COVID-19在怀孕期间的潜在并发症,难以区别于产后心肌病.
- 早期识别COVID-19有助于预测和管理关键的母亲并发症.
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