综述文章:妊娠期胎盘组织病理学改变及其与冠状病毒感染的关系

Rajaa Ali Moheiseen Al-Taee, A. A. Al-Taee
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引用次数: 0

摘要

在Covid-19大流行期间,严重急性呼吸综合征-冠状病毒2 (SARS-CoV-2)在孕妇中的严重程度明显高于非孕妇,导致许多与健康相关的后果,影响了医疗保健,包括对胎儿和孕产妇的影响。冠状病毒2型感染会引起各种改变,从而损害胎盘组织。大多数SARS-CoV-2患者无症状或有与上呼吸道感染相关的中度症状,有时可能升级为严重疾病、多器官损伤、系统衰竭和死亡。关于孕产妇感染影响的证据越来越多。新出现的信息表明,与产科相关的危险有所增加,如死产、妊娠糖尿病、孕产妇问题、早产、高血压疾病、宫内胎儿生长减少以及新生儿发育障碍的可能性。一般来说,关于垂直传播的可能性仍然存在矛盾的关切。胎盘及其在COVID-19妊娠中的作用需要进一步分析,因为胎盘功能受损会影响妊娠的命运。所回顾的研究提到了组织结构的变化,如组织病理学改变伴随着冠状病毒2的爆发。目前的综述研究可以作为一个指南,帮助医生和研究人员在未来明确有效的计划,诊断和治疗这种流行病的病例,以防止它带来的风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
REVIEW ARTICLE: HISTOPATHOLOGICAL CHANGES IN PLACENTA AND RELATIONSHIP WITH CORONAVIRUS INFECTION DURING PREGNANCY
During Covid-19 pandemic, Severe Acute Respiratory Syndrome - Coronavirus 2 (SARS-CoV-2) was significantly more severe in pregnant women than in non-pregnant women, leading in a number of health-related consequences that impacted healthcare, including fetal and maternal ramifications. Infection by coronavirus 2 can harm placental tissue by causing a variety of alterations.  The majority of patients with SARS-CoV-2 are asymptomatic or have moderate symptoms related to upper respiratory infections that could sometimes escalate to severely sickness, injury of multi-organ, system failure, and death. Evidence about the effects of maternal infection is growing. Emerging information points to an increase in the dangers associated with obstetrics, such as stillbirth, gestational diabetes, maternal problems, preterm births, hypertensive disorder, reduced intrauterine fetal growth, and a chance of neonatal impairments of development. Generally, it remains contradictory concerns regarding the possibility of vertical transmission. Further analysis is needed on the placenta and its role in pregnancies with COVID-19 since impairment of placental function effects on fate of pregnancy. The reviewed studies referred to present of changes in the architecture of tissues as histopathological alterations accompanied coronavirus 2 outbreaks. The current review study can be a guide that helps doctors and researchers in the future to clarify effective plans in diagnosing and treating cases of this epidemic to prevent the risks it causes.
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