孕晚期合并无症状新型冠状病毒感染一例

本文为孕晚期无症状新型冠状病毒感染一例报告,母儿结局良好。患者孕38周因"新型冠状病毒核酸检测阳性1 d"于2020年2月11日入住合肥市第二人民医院。患者孕期定期产前检查且均未见异常。因其丈夫及姐姐分别于患者入院前14和7 d先后确诊为新型冠状病毒肺炎(COVID-19),患者入院前咽拭子新型冠状病毒核酸检测阳性。患者入院前无任何不适。入院第3天,胸部CT示两肺未见异常,仅两侧少量胸腔积液;患者出现不规律宫缩,急诊剖宫产娩出一活女婴。未行羊水、脐带血、胎盘等病原学检查。术后未行母乳喂养,患者与新生儿分室隔离,参与剖宫产手术相关医护人员术后均采取单间隔离。新生儿于出生当天、1日龄分别取外周血、鼻咽拭子,9日龄分别取鼻咽拭子、肛拭子进行新型冠状病毒核酸检测,结果均为阴性。患者术后恢复情况良好,生命体征平稳,术后8 d胸部CT提示两侧少量胸腔积液,术后11和12 d复测咽拭子新型冠状病毒核酸结果均为阴性。母女于术后14 d顺利出院。参与手术的相关医护人员术后14 d咽拭子新型冠状病毒核酸检测结果均阴性。

Asymptomatic COVID-19 in pregnant woman in the third trimester: a case report

A case of asymptomatic COVID-19 in a pregnant woman in the third trimester with good maternal and infant outcomes is reported.The patient was admitted to the Second People's Hospital of Hefei on February 11,2020,because of a"positive novel coronavirus nucleic acid test result for one day"at 38 weeks of gestation.No abnormality was observed during her previous regular prenatal examinations.A throat swab sample was obtained from the patient before admission due to the diagnosis of COVID-19 in her husband and sister on the 14th and 7th day before her admission,and the new coronavirus nucleic acid test showed positive.The patient reported no discomfort before admission.Chest CT on the 3rd day after admission showed a small amount of bilateral pleural effusion.Irregular contractions occurred three days after admission and then,an emergency cesarean section was performed and the patient delivered a live baby girl.No tests were performed on amniotic fluid,cord blood or placenta for new coronavirus nuclei acid.The patient was isolated from the infant without breastfeeding after surgery.All medical staff involved in the cesarean section were isolated after surgery.Neonatal peripheral blood and nasopharyngeal swabs were collected for the new coronavirus nucleic acid tests on the day of birth and one day of age,respectively,and nasopharyngeal swabs and anal swabs were taken at nine days after birth.All test results were negative.The patient recovered well after surgery with stable vital signs.Chest CT on the 8th day after operation showed a small amount of bilateral pleural effusion,while the new coronavirus nucleic acid test results of the pharyngeal swabs were positive on the 11th and 12th day after operation.The throat swabs of all medical staff involved in the operation were negative 14 days after the operation.The mother and baby were discharged 14 days after the cesarean section.