妊娠合并结核病的诊疗进展  

Progress in diagnosis and treatment of tuberculosis in pregnancy

作　　者：黄春燕[1] HUANG Chunyan(Department of Obstetrics,Nanxishan Hospital,Guangxi Zhuang Autonomous Region,Guilin541002,China)

机构地区：[1]广西壮族自治区南溪山医院产科,广西桂林541002

出　　处：《中国当代医药》2022年第2期33-37,共5页China Modern Medicine

摘　　要：结核病是因结核分枝杆菌感染引起的慢性传染病,妊娠期潜伏结核感染无临床表现,但可能发展为活动性结核病,多数结核患者无典型结核中毒症状,但可导致妊娠不良结局的发生,如果不及时诊断治疗,会给母儿带来不良影响,并使这部分女性及家庭的生活质量下降,提高妇产科医护人员识别能力,在识别孕妇是否罹患结核病以及患病后是否需要进一步治疗发挥着重要的作用。本文回顾了近年来妊娠合并结核病的流行病学、妊娠期潜伏性结合感染及活动性结核病的筛查、诊断及治疗方案,为临床提供参考。Tuberculosis is a chronic infectious disease caused by Mycobacterium tuberculosis infection.Latent tuberculosis infection during pregnancy has no clinical manifestations,but may develop into active tuberculosis.Most tuberculosis patients have no typical tuberculosis poisoning symptoms,but can lead to adverse pregnancy outcomes.Failure to diagnose and treat in time will have adverse effects on mothers and children,and will reduce the quality of life of these women and their families.Improving the recognition ability of obstetrics and gynecology medical staff plays an important role in identifying whether pregnant women suffer from tuberculosis and whether further treatment is needed after the illness.This article reviews the epidemiology of tuberculosis in pregnancy in recent years,the screening,diagnosis and treatment of latent combined infection during pregnancy and active tuberculosis,and provides reference for clinical practice.

关 键 词：妊娠 结核 潜伏结核感染 诊断 治疗 

分 类 号：R714.2[医药卫生—妇产科学]