危重甲型流感孕妇分娩早产儿一例  

A preterm infant born to a mother with severe influenza A

作　　者：夏小荣 卢红梅[2] 管亚飞[1] 缪晓林[1] 崔曙东[1] 潘晶晶[1] 陈筱青[1] Xia Xiaorong;Lu Hongmei;Guan Yafei;Miao Xiaolin;Cui Shudong;Pan Jingjing;Chen Xiaoqing(Department of Pediatrics,the First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China;Department of Obstetrics,the First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China)

机构地区：[1]南京医科大学第一附属医院儿科,210029 [2]南京医科大学第一附属医院产科,210029

出　　处：《中华围产医学杂志》2020年第7期489-491,共3页Chinese Journal of Perinatal Medicine

基　　金：江苏省妇幼健康科研项目(F201745)。

摘　　要：本文报告了1例因母亲妊娠晚期感染甲型流感病毒分娩的早产男婴。患儿出生体重2200 g,胎龄34周+1,其母亲在气管插管机械通气联合体外膜肺氧合支持下行剖宫产。患儿生后因"新生儿肺炎、新生儿呼吸窘迫综合征、早产儿、低出生体重儿"转至新生儿重症监护病房,给予保暖、监测生命体征、稳定呼吸、循环及内环境,营养支持等治疗,于生后17 d好转出院。随访至生后6个月,患儿体格生长发育良好。产妇于术后20 d好转出院。We report a case of a 2200 g premature male baby born through cesarean section under maternal endotracheal intubation mechanical ventilation combined with extracorporeal membrane oxygenation at 34+1 gestational weeks,while his mother was infected with influenza A in late pregnancy.Due to neonatal pneumonia,neonatal respiratory distress syndrome,prematurity,and low birth weight,the neonate was transferred to the neonatal intensive care unit for body temperature maintenance,respiratory support,maintenance of perfusion and internal environment,and nutritional management.The infant was discharged 17 days after birth and was well at six-month-old follow-up.His mother was discharged at 20 days post-delivery.

关 键 词：正黏病毒科感染 妊娠并发症 感染性 体外膜氧合作 婴儿 早产 重症监护病房 新生儿 

分 类 号：R714.251[医药卫生—妇产科学] R722.6[医药卫生—临床医学]