| 妊娠合并重症新型甲型H1N1流感13例临床分析 |
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| 引用本文： | 陈愉,徐小嫚,李世煜,冯学威,李胜岐,赵立. 妊娠合并重症新型甲型H1N1流感13例临床分析[J]. 中国实用内科杂志, 2010, 0(1) |
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| 作者姓名： | 陈愉 徐小嫚 李世煜 冯学威 李胜岐 赵立 |
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| 作者单位： | 中国医科大学附属盛京医院呼吸科; |
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| 摘 要： | 目的探讨妊娠合并重症新型甲型H1N1流感的临床及治疗特点。方法对2009年11月7日至12月18日中国医科大学附属盛京医院收治的妊娠合并重症新型甲型H1N1流感住院的13例患者临床资料进行回顾性分析。结果13例患者均为妊娠中晚期,均伴有发热、气短症状。11例有低蛋白血症,6例脑钠肽增高,7例D-二聚体增高,10例氧合指数小于300。7例入住重症监护病房(ICU),2例死亡。8例行紧急剖宫产手术,其中4例新生儿存活,3例胎死宫内,1例新生儿死亡。入住ICU的患者平均孕龄为31.7周,而非入住ICU的患者平均孕龄为21.7周,两组差异有统计学意义(P0.01)。结论妊娠妇女是重症新型甲型H1N1流感的高危人群;孕龄与病情严重程度相关;适时中止妊娠、抗凝及负液平衡治疗对预后至关重要。
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| 关 键 词： | 妊娠并发症 新型甲型H1N1流感 临床特点 |
Clinical analysis of severe novel influenza A(H1N1) virus infection in pregnant women:a report of 13 cases |
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| CHEN Yu,XU Xiao-man,LI Shi-yu,FENG Xue-wei,LI Sheng-qi,ZHAO Li.Respiratory Department,Shengjing Hospital,China Medical University,Shenyang ,China. Clinical analysis of severe novel influenza A(H1N1) virus infection in pregnant women:a report of 13 cases[J]. Chinese Journal of Practical Internal Medicine, 2010, 0(1) |
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| Authors: | CHEN Yu XU Xiao-man LI Shi-yu FENG Xue-wei LI Sheng-qi ZHAO Li.Respiratory Department Shengjing Hospital China Medical University Shenyang China |
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| Affiliation: | CHEN Yu,XU Xiao-man,LI Shi-yu,FENG Xue-wei,LI Sheng-qi,ZHAO Li.Respiratory Department,Shengjing Hospital,China Medical University,Shenyang 110004,China |
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| Abstract: | Objective To analyze the clinical data of 13 pregnant patients with severe novel influenza A(H1N1)virus infection.Methods The clinical data of 13 pregnant inpatients with severe novel influenza A(H1N1) virus infection,who were treated in our hospital from Nov.7,2009 to Dec.8,2009,were retrospectively analyzed.Results The 13 patients were pregnant in second or third trimesters.All patients had fever and shortness of breath,11 had hypoalbuminemia,6 had elevated cardionatrin,7 had elevated dipolymer,and 10 had... |
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| Keywords: | pregnancy complications novel influenza A(H1N1) virus clinical features |
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