致编辑:
虽然2019冠状病毒病(COVID-19)病例数量庞大且迅速增加,并导致患者死亡1,但关于孕产妇COVID-19患者的临床特征数据有限2,3。我们通过中国国家卫生健康委员会的疫情报告系统提取了孕产妇COVID-19患者的流行病学、临床、实验室和放射学特征以及治疗和临床结局信息,该系统存储了武汉市所有50家定点医院的病历。
从2019年12月8日至2020年3月20日,我们按照中国《新型冠状病毒肺炎诊疗方案》的标准确定了武汉118名孕产妇COVID-19患者;84名女性(71%)的聚合酶链反应(PCR)检测显示严重急性呼吸综合征冠状病毒2(SARS-CoV-2)呈阳性,其余34名女性(29%)的胸部计算机断层扫描(CT)提示COVID-19。轻症、重症和危重症的标准和其他方法学详细信息见补充附录,补充附录与本文全文可在NEJM.org获取。孕产妇患者占同时间段内这些医院报告的所有COVID-19患者的0.24%。
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参考文献
1. World Health Organization. Coronavirus (COVID-19). 2020 (https://who.sprinklr.com. opens in new tab).
2. Chen H, Guo J, Wang C, et al. Clinical characteristics and intrauterine vertical transmission potential of COVID-19 infection in nine pregnant women: a retrospective review of medical records. Lancet 2020;395:809-815.
3. Yu N, Li W, Kang Q, et al. Clinical features and obstetric and neonatal outcomes of pregnant patients with COVID-19 in Wuhan, China: a retrospective, single-centre, descriptive study. Lancet Infect Dis 2020 March 24 (Epub ahead of print).
4. Guan W, Ni Z, Hu Y, et al. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med. DOI: 10.1056/NEJMoa2002032.
5. Creanga AA, Kamimoto L, Newsome K, et al. Seasonal and 2009 pandemic influenza A (H1N1) virus infection during pregnancy: a population-based study of hospitalized cases. Am J Obstet Gynecol 2011;204:Suppl 1:S38-S45.