孕产期妇女感染甲型H1N1流感临床诊疗分析  

Clinical analysis of manifesfalional features and treatments about severe influanza virus A (H1N1) in pregnant and parturient Women

作　　者：施学进[1] 曹坤跃[1] 

机构地区：[1]泗洪县人民医院,江苏泗洪223900

出　　处：《临床肺科杂志》2011年第7期1014-1015,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的分析孕产期妇女感染甲型H1N1流感的临床特点及诊疗措施。方法分析2009年12月6日～2010年1月10日我院ICU救治的7例临床资料。结果 1例中期妊娠,6例晚期妊娠待产。7例均有中高度发热,咳嗽,不同程度的胸闷气喘。血白细胞总数正常,4例淋巴细胞计数低于正常,胸部CT见两肺不同程度斑片状浸润实变影,伴微至少量胸腔积液。1例引产,1例自然分娩,5例行剖宫产术。2例行无创通气治愈,5例有创通气治愈。结论孕产期妇女感染甲型H1N1流感患者病情重,发展快,应及时终止妊娠,及时分娩并积极行机械通气支持与综合治疗是成功救治的关键。Objective To analyze and summarize the clinical features and treatments of severe influenza A（H1N1） in pregnant and parturient women.Methods The clinical data of seven cases hospitalized in ICU from Dec6,2009 toJan 10,2010 were collected and analyzed retrospectively.Results one case was in middle pregnancy,and six cases in late pregnancy and coming childbirth.All seven cases had moderate to severe fever,cough and gasp.The total of whilte blood cell（WBC）were normal in seven cases,while the lymphocytes were lower than normal in four cases.The opaque of infiltration and conlidation in lungs was detected by X-ray photography or CT.One middle pregnancy was terminated by an induced abortion,one parturient woman accepted an natural childbirth,and five late pregnant women accepted caesarean operation.Among them,two cases were cured of severe influenza A by nonivasive positive pressure ventilation（NIPPV）,while five cases by invasive positive pressure ventilation（IPPV）.Conclusion Both timely parturation,termination of pregnancy and active mechanical ventilation,comprehensive supports are the key measures to the severe influenza A（H1N1） which deteriorates rapidly in pregnant and parturient women.

关 键 词：妊娠 甲型H1N1流感 治疗 临床分析 

分 类 号：R511.7[医药卫生—内科学]