伊朗库姆市因COVID-19重症和危重型孕产妇死亡:一个病例系列

IF 0.4 Q4 CRITICAL CARE MEDICINE

Journal of Acute Disease Pub Date : 2022-11-01 DOI:10.4103/2221-6189.362816

Mojtaba Yousefzadeh, A. Asgarian, Roghayyeh Ahangari, Z. Yazdi, M. Savari, Monireh Mirzaie, F. Bagheri, A. Mohammadbeigi

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引用次数: 0

摘要

目的:报告新型冠状病毒肺炎孕产妇死亡情况。方法:收集2019年12月至2022年5月在伊朗库姆Nekouie-Forghani-Hedayati医院产科转诊的14例重症和危重型COVID-19孕产妇死亡病例。分析临床表现及母婴结局。结果:使用地塞米松7例，使用瑞德西韦5例。急性呼吸窘迫综合征、多器官衰竭和败血症是母亲死亡的主要原因。8例通过剖腹产终止妊娠，仅有1例产妇在孕周13周时新生儿死亡，其他所有胎儿均健康存活。结论:妊娠期COVID-19是一种紧急情况。需要对其他合并症进行严格评估，并尽快进行换喉PCR阳性检测。

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Maternal death due to severe and critical COVID-19 in Qom, Iran: A case series

Objective: To report the maternal death due to COVID-19. Methods: A total of 14 maternal deaths due to severe and critical COVID-19 who were referred to the obstetric department of Nekouie-Forghani-Hedayati Hospital, Qom, Iran from December 2019 to May 2022 were collected. The clinical manifestations and maternal and perinatal outcomes were analyzed. Results: Dexamethasone was used in 7 cases, while remdesivir was used in 5 cases. Acute respiratory distress syndrome, multiple organ failure, and sepsis were the main cause of mother death. The pregnancy in 8 cases were terminated by caesarean and only one neonatal death was reported from a mother at 13th week of gestational age, while all other fetus delivered were healthy and alive. Conclusions: COVID-19 in pregnancy is an emergency. Critical appraisal is needed to detect the other comorbidities and positive PCR test by throat swap should be performed as soon as possible.

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来源期刊

Journal of Acute Disease CRITICAL CARE MEDICINE-

自引率

20.00%

发文量

652

审稿时长

12 weeks

期刊介绍： The articles published mainly deal with pre-hospital and hospital emergency medicine, cardiopulmonary-cerebral resuscitation, critical cardiovascular disease, sepsis, severe infection, multiple organ failure, acute and critical diseases in different medical fields, sudden cardiac arrest, Intensive Care Unit (ICU), critical care medicine, disaster rescue medicine (earthquakes, fires, floods, mine disaster, air crash, et al.), acute trauma, acute toxicology, acute heart disease, and related topics. JAD sets up columns for special subjects in each issue.