妊娠期巨细胞病毒感染的诊断、处理和咨询策略  

作　　者：冯静[1] 周乙华[2] 

机构地区：[1]南京大学医学院附属鼓楼医院妇产科,210008 [2]南京大学医学院附属鼓楼医院科研部,210008

出　　处：《中华产科急救电子杂志》2020年第4期199-203,共5页Chinese Journal of Obstetric Emergency（Electronic Edition）

摘　　要：本文描述了妊娠期不同类型巨细胞病毒(cytomegalovirus,CMV)感染的宫内感染发生率,如何鉴别活动性感染的类型以及如何诊断胎儿发生宫内感染的策略。明确指出妊娠期CMV活动性感染时,需结合胎儿是否感染和胎儿影像学检查结果为患者提供咨询,不能仅因为孕妇CMV IgM和IgG阳性而终止妊娠,还应鼓励母乳喂养。This review article provides the information on the incidence of intrauterine transmission in various types of maternally active cytomegalovirus(CMV)infection,the differentiation of active CMV in pregnant women,and the diagnosis of fetal CMV infection.This document clearly states that the prenatal counseling should be based on the combination of the status of fetal CMV infection and the results of fetal imaging.It is emphasized that the pregnancy should not be temminated only based on the matemal positive for CMV IgM and IgG.Detection of CMV DNA in breastmilk is not required and breastmilk beefing should be encouraged.

关 键 词：巨细胞病毒 活动性感染 宫内感染 诊断 处理 咨询 

分 类 号：R714.2[医药卫生—妇产科学]